BLUE MOUNTAIN HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BLUE MOUNTAIN HOSPITAL INC (EIN 24-0795436)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201941349349301239
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T09:03:54-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Jefferson Park Suite 400 | AddressLine1Txt |
| City | Whippany | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 079811070 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 240795436 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE MOUNTAIN HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % THOMAS P LICHTENWALNER | InCareOfNm |
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 6103771300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 NORTH 12TH STREET | AddressLine1Txt |
| City | LEHIGHTON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18235 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS P LICHTENWALNER | PersonNm |
| Person Title | SVP FINANCE & CFO | PersonTitleTxt |
| Phone | 4845264000 | PhoneNum |
| Signature | 2019-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SCOTT J MARIANI | PreparerPersonNm |
| PTIN | P00642486 | PTIN |
| Phone | 9738989494 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 148.77.36.74 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 22006220191345000041 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-05-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3EAB307D2E8AFAB6AF4FCC2E4D32CBEA4C05B2A0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B4F49B62ABB70139397F9A781BA9C9E9BE652F2C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS P LICHTENWALNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 OSTRUM STREET | AddressLine1Txt |
| City | BETHLEHEM | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $76,978,386 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SLHN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPASSIONATE, EXCELLENT QUALITY AND COST EFFECTIVE HEALTHCARE TO THE RESIDENTS OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1192 | TotalEmployeeCnt |
| Total Volunteers | 370 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $167,225 | PYContributionsGrantsAmt |
| CY Contributions Grants | $245,187 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $73,826,748 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $75,719,721 | CYProgramServiceRevenueAmt |
| PY Investment Income | $210,426 | PYInvestmentIncomeAmt |
| CY Investment Income | -$3,892,910 | CYInvestmentIncomeAmt |
| PY Other Revenue | $561,957 | PYOtherRevenueAmt |
| CY Other Revenue | $578,407 | CYOtherRevenueAmt |
| PY Total Revenue | $74,766,356 | PYTotalRevenueAmt |
| CY Total Revenue | $72,650,405 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,499 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,731,462 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,473,697 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $31,573,343 | PYOtherExpensesAmt |
| CY Other Expenses | $47,766,553 | CYOtherExpensesAmt |
| PY Total Expenses | $74,304,805 | PYTotalExpensesAmt |
| CY Total Expenses | $91,241,749 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $461,551 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$18,591,344 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $58,122,126 | TotalAssetsBOYAmt |
| Total Assets EOY | $81,539,778 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,696,207 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $71,004,542 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,425,919 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,535,236 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE ORGANIZATION IS TO PROVIDE COMPASSIONATE, EXCELLENT QUALITY AND COST EFFECTIVE HEALTHCARE TO THE RESIDENTS OF THE COMMUNITIES WE SERVE REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. THE NETWORK HAS AN UNWAVERING COMMITMENT TO EXCELLENCE AS WE CARE FOR THE SICK AND INJURED, EDUCATE PHYSICIANS, NURSES AND OTHER HEALTHCARE PROVIDERS; AND IMPROVE ACCESS TO CARE IN THE COMMUNITIES WE SERVE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,167,761 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $9,066,720 | RevenueAmt |
| Desc | EXPENSES INCURRED IN PROVIDING BEHAVIORAL HEALTH SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,526,902 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $8,051,948 | RevenueAmt |
| Desc | EXPENSES INCURRED IN OPERATING A SKILLED NURSING UNIT WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,149,134 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,118,322 | RevenueAmt |
| Desc | EXPENSES INCURRED IN PROVIDING EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $65,273,927 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,499 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $56,482,731 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $82,117,724 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1192 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS P LICHTENWALNER | PersonNm |
| Phone | 4845264000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 OSTRUM STREET | AddressLine1Txt |
| City | BETHLEHEM | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 180151000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| HONORABLE STEVEN SERFASS | ||||||||
| CHAIRMAN - TRUSTEE | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LOUIS SPORTELLI DC | ||||||||
| VICE CHAIRMAN - TRUSTEE | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT GROB DO | ||||||||
| SECRETARY/TREASURER - TRUSTEE | 55.0 | 0.0 | Yes (X) | Yes (X) | $220,958 | $0 | $0 | |
| CONRAD BIEGE | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM H FEGLEY JR | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA GREEN | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM KISSNER | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM MARKSON MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| TERRENCE J PURCELL | ||||||||
| TRUSTEE - PRESIDENT(EFF 01/18) | 55.0 | 0.0 | Yes (X) | Yes (X) | $159,789 | $0 | $50,347 | |
| SHELBA SCHEFFNER | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JAMES SHOBER III | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| NICK VARVARELIS DO | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| REVEREND ROBERT VONFRISCH | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN DEMATTE IV DC | ||||||||
| TRUSTEE (TERMED 10/25/17) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK HANLEY DO | ||||||||
| TRUSTEE (TERMED 8/9/17) | 1.0 | 0.0 | Yes (X) | $22,750 | $0 | $0 | ||
| ANDREW E HARRIS | ||||||||
| TRUSTEE - PRES/CEO(TERM 12/17) | 55.0 | 0.0 | Yes (X) | Yes (X) | $589,890 | $0 | $59,732 | |
| JAIME MENDES | ||||||||
| TRUSTEE (TERMED 8/11/17) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ANDREA L ANDRAE | ||||||||
| VP/CFO (TERMED 12/31/17) | 55.0 | 0.0 | Yes (X) | $163,490 | $0 | $39,446 | ||
| THOMAS P LICHTENWALNER | ||||||||
| SVP FINANCE & CFO (EFF 1/1/18) | 55.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| HAMAYUN N AHMED MD | ||||||||
| PSYCHIATRIST | 55.0 | 0.0 | $349,931 | $0 | $22,646 | Yes (X) | ||
| MOHAMMAD K KHAN MD | ||||||||
| PSYCHIATRIST | 55.0 | 0.0 | $326,369 | $0 | $26,997 | Yes (X) | ||
| MUHAMMAD Z AJMAL MD | ||||||||
| ANESTHESIOLOGIST | 55.0 | 0.0 | $321,627 | $0 | $25,523 | Yes (X) | ||
| BRIAN A LEFROCK MD | ||||||||
| ANETHESIOLOGIST | 55.0 | 0.0 | $312,983 | $0 | $21,920 | Yes (X) | ||
| LARRY J MATURANI MD | ||||||||
| INTERNIST | 55.0 | 0.0 | $296,130 | $0 | $24,021 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,763,917 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $270,632 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARDIOLOGY ASSOCIATES | |||||
| 1241 BLAKESLEE BOULEVARD EAST | LEHIGHTON | PA | 18235 | MEDICAL | $1,274,468 |
| BAKER TILLY VIRCHOW KRAUSE LLP | |||||
| PO BOX 78975 | MADISON | WI | 78975 | AUDITING/ACCOUNTING | $252,887 |
| LABCORP | |||||
| 531 SOUTH SPRING STREET | BURLINGTON | NC | 27215 | LABORATORY | $241,110 |
| STEVEN LAZICKI | |||||
| 575 SOUTH 9TH STREET | LEHIGHTON | PA | 18235 | MEDICAL | $222,612 |
| ROBERT GROB DO | |||||
| 5600 OLD MILL HILL ROAD | OREFIELD | PA | 18069 | MEDICAL | $220,958 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Fundraising | $45,824 | FundraisingAmt |
| All Other Contributions | $199,363 | AllOtherContributionsAmt |
| Total Contributions | $245,187 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | $75,454,204 | $75,454,204 |
| OTHER HEALTHCARE RELATED REVENUE | 541900 | $265,517 | $265,517 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $75,719,721 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $432,174 | TotalRevenueColumnAmt |
| Exclusion | $432,174 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $284,023 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $284,023 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $284,023 | TotalRevenueColumnAmt |
| Exclusion | $284,023 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,243 | SecuritiesAmt |
| Other | $4,322,841 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$2,243 | SecuritiesAmt |
| Other | -$4,322,841 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,325,084 | TotalRevenueColumnAmt |
| Exclusion | -$4,325,084 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,897 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $45,824 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $2,897 | FundraisingDirectExpensesAmt |
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DIETARY REVENUE | Desc |
| Business | 722410 | BusinessCd |
| Total Revenue Column | $294,384 | TotalRevenueColumnAmt |
| Exclusion | $294,384 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $294,384 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,650,405 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,719,721 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$3,314,503 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,499 | TotalAmt |
| Program Services | $1,499 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,306,402 | TotalAmt |
| Program Services | $1,175,762 | ProgramServicesAmt |
| Management And General | $130,640 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,439,840 | TotalAmt |
| Program Services | $29,195,856 | ProgramServicesAmt |
| Management And General | $3,243,984 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,117,226 | TotalAmt |
| Program Services | $6,405,503 | ProgramServicesAmt |
| Management And General | $711,723 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,610,229 | TotalAmt |
| Program Services | $2,349,206 | ProgramServicesAmt |
| Management And General | $261,023 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,492 | TotalAmt |
| Program Services | $181,343 | ProgramServicesAmt |
| Management And General | $20,149 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,732 | TotalAmt |
| Program Services | $49,259 | ProgramServicesAmt |
| Management And General | $5,473 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,322 | TotalAmt |
| Program Services | $101,090 | ProgramServicesAmt |
| Management And General | $11,232 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,065 | TotalAmt |
| Program Services | $37,858 | ProgramServicesAmt |
| Management And General | $4,207 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,157 | TotalAmt |
| Program Services | $509,542 | ProgramServicesAmt |
| Management And General | $56,615 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,961 | TotalAmt |
| Program Services | $71,965 | ProgramServicesAmt |
| Management And General | $7,996 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,184,123 | TotalAmt |
| Program Services | $2,865,711 | ProgramServicesAmt |
| Management And General | $318,412 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,170,509 | TotalAmt |
| Program Services | $8,253,458 | ProgramServicesAmt |
| Management And General | $917,051 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,554,877 | TotalAmt |
| Program Services | $1,399,389 | ProgramServicesAmt |
| Management And General | $155,488 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,745 | TotalAmt |
| Program Services | $24,071 | ProgramServicesAmt |
| Management And General | $2,674 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,463 | TotalAmt |
| Program Services | $172,317 | ProgramServicesAmt |
| Management And General | $19,146 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,013,163 | TotalAmt |
| Program Services | $911,847 | ProgramServicesAmt |
| Management And General | $101,316 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,909,818 | TotalAmt |
| Program Services | $2,618,836 | ProgramServicesAmt |
| Management And General | $290,982 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,233,100 | TotalAmt |
| Program Services | $1,109,790 | ProgramServicesAmt |
| Management And General | $123,310 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $8,955,245 | $8,059,720 | $895,525 | $0 |
| PURCHASED SERVICES | $8,934,652 | $8,041,187 | $893,465 | $0 |
| REPAIRS & MAINTENANCE | $857,776 | $771,998 | $85,778 | $0 |
| DUES & SUBSCRIPTIONS | $199,964 | $179,967 | $19,997 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,478,389 | TotalAmt |
| Program Services | $7,630,550 | ProgramServicesAmt |
| Management And General | $847,839 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,241,749 | TotalAmt |
| Program Services | $82,117,724 | ProgramServicesAmt |
| Management And General | $9,124,025 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $4,882,861 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,735,469 | BOYAmt |
| EOY | $6,482,058 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,592,727 | BOYAmt |
| EOY | $1,555,471 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $721,562 | BOYAmt |
| EOY | $846,639 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $109,558,615 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $86,614,607 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,068,471 | BOYAmt |
| EOY | $22,944,008 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,656,007 | BOYAmt |
| EOY | $6,725,735 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,621 | BOYAmt |
| EOY | $35,897,067 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,587,269 | BOYAmt |
| EOY | $2,205,939 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,122,126 | BOYAmt |
| EOY | $81,539,778 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,303,314 | BOYAmt |
| EOY | $7,347,037 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,082,779 | BOYAmt |
| EOY | $21,853,582 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,852,424 | BOYAmt |
| EOY | $1,710,743 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,457,690 | BOYAmt |
| EOY | $40,093,180 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,696,207 | BOYAmt |
| EOY | $71,004,542 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,364,619 | BOYAmt |
| EOY | $8,995,937 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,000 | BOYAmt |
| EOY | $232,185 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $979,300 | BOYAmt |
| EOY | $1,307,114 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,425,919 | BOYAmt |
| EOY | $10,535,236 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,122,126 | BOYAmt |
| EOY | $81,539,778 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$18,591,344 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $26,700,661 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $40,307 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,758 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $42,065 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B; QUESTION 1 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING THE FISCAL YEAR ENDED JUNE 30, 2018, THE ORGANIZATION PAID AN INDEPENDENT LOBBYING FIRM A TOTAL OF $40,307 FOR LOBBYING CONSULTING SERVICES. ADDITIONALLY, THE ORGANIZATION IS A MEMBER OF THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. DURING THE FISCAL YEAR ENDED JUNE 30, 2018 THIS ALLOCATION AMOUNTED TO $1,758. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $979,300 | BeginningYearBalanceAmt |
| Contributions | $195,628 | ContributionsAmt |
| Investment Earnings Or Losses | $364,371 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,539,299 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $36,229 | BeginningYearBalanceAmt |
| Contributions | $936,314 | ContributionsAmt |
| Investment Earnings Or Losses | $6,757 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $979,300 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $50,338 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$14,109 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $36,229 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $62,955 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$12,617 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $50,338 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $66,907 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,952 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $62,955 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.84920 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.15080 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,192,188 | OtherCostOrOtherBasisAmt |
| Book Value | $4,192,188 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,065,200 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,675,078 | DepreciationAmt |
| Book Value | $9,390,122 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,534,869 | OtherCostOrOtherBasisAmt |
| Depreciation | $850,961 | DepreciationAmt |
| Book Value | $683,908 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,159,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,652,512 | DepreciationAmt |
| Book Value | $8,507,002 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,606,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,436,056 | DepreciationAmt |
| Book Value | $170,788 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,944,008 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CASH & EQUIVALENTS | $4,862,126 | F |
| GOVERNMENT SECURITIES | $269,872 | F |
| CORPORATE BONDS | $74,808 | F |
| COMMON & PREFERRED STOCK | $407,720 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $6,725,735 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE RESERVES | $198,898 |
| ADVANCE FROM THIRD PARTY PAYORS | $475,355 |
| ACCRUED INTEREST ON LONG-TERM DEBT | $64,636 |
| DUE TO AFFILIATES | $15,133,015 |
| OTHER LIABILITIES | $17,717,770 |
| THIRD PARTY PAYOR SETTLEMENTS | $6,503,506 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $40,093,180 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART V; QUESTION 4 | FormAndLineReferenceDesc |
| Explanation | ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. EFFECTIVE JANUARY 1, 2018 THE ORGANIZATION BECAME AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE PARENT ENTITY OF THE NETWORK. AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE HOSPITAL AND ITS CONTROLLED AFFILIATE FOR THE YEAR ENDED JUNE 30, 2018 AND ISSUED AN AUDITED CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE NETWORK'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT ADDRESSES THE NETWORK'S ENDOWMENT FUNDS: THE NETWORKS ENDOWMENT CONSISTS OF APPROXIMATELY $44,183,807 INDIVIDUAL DONOR RESTRICTED ENDOWMENT FUNDS AND $97,925,511 BOARD-DESIGNATED ENDOWMENT FUNDS FOR A VARIETY OF PURPOSES PLUS THE FOLLOWING WHERE THE ASSETS HAVE BEEN DESIGNATED FOR ENDOWMENT: SPLIT INTEREST AGREEMENTS, AND OTHER NET ASSETS. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. THE NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS INCLUDING FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR IMPOSED RESTRICTIONS. RETURN OBJECTIVES AND RISK PARAMETERS THE NETWORK HAS ADOPTED ENDOWMENT INVESTMENT AND SPENDING POLICIES THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS. UNDER THIS POLICY, THE RETURN OBJECTIVE FOR THE ENDOWMENT ASSETS, MEASURED OVER A FULL MARKET CYCLE, SHALL BE TO MAXIMIZE THE RETURN AGAINST A BLENDED INDEX, BASED ON THE ENDOWMENTS TARGET ALLOCATION APPLIED TO THE APPROPRIATE INDIVIDUAL BENCHMARKS. THE NETWORK EXPECTS ITS ENDOWMENT FUNDS OVER TIME, TO PROVIDE AN AVERAGE RATE OF RETURN APPROXIMATING THE S&P 500 STOCK INDEX (DOMESTIC PORTION), MSCI EAFE INDEX (INTERNATIONAL PORTION) AND LEHMAN BROTHERS INTERMEDIATE GOVERNMENT/CORPORATE INDEX (BOND PORTION). ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THE INDEX RETURN AMOUNTS. STRATEGIES EMPLOYED FOR ACHIEVING INVESTMENT OBJECTIVES TO ACHIEVE ITS LONG-TERM RATE OF RETURN OBJECTIVES, THE NETWORK RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CAPITAL APPRECIATION (REALIZED AND UNREALIZED GAINS) AND CURRENT YIELD (INTEREST AND DIVIDENDS). THE NETWORK TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES GREATER EMPHASIS ON EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. ENDOWMENT SPENDING ALLOCATION AND RELATIONSHIP OF SPENDING POLICY TO INVESTMENT OBJECTIVES THE BOARD OF TRUSTEES OF THE NETWORK DETERMINES THE METHOD TO BE USED TO APPROPRIATE ENDOWMENT FUNDS FOR EXPENDITURE. CALCULATIONS ARE PERFORMED FOR INDIVIDUAL ENDOWMENT FUNDS AT A RATE OF 4.5% OF A THREE-YEAR MOVING AVERAGE MARKET VALUE WITH A MINIMUM INCREASE OF 0% AND A MAXIMUM INCREASE OF 10% PER YEAR OVER THE PREVIOUS YEARS SPENDING AMOUNT. THE TOTAL IS REDUCED BY THE INCOME DISTRIBUTED FROM THE ENDOWMENT FUND IN ACCORDANCE WITH THE PREFERENCES/RESTRICTIONS MADE BY THE DONORS. THE CORRESPONDING CALCULATED SPENDING ALLOCATIONS ARE DISTRIBUTED ANNUALLY BY JUNE 30. IN ESTABLISHING THIS POLICY, THE BOARD CONSIDERED THE EXPECTED LONG TERM RATE OF RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, THE NETWORK EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF 8% PERCENT ANNUALLY, CONSISTENT WITH ITS INTENTION TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SLIP,SLIDE,SOLD | Event1Nm |
| Gross Receipts Event1 | $48,721 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $45,824 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,897 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $1,118 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $500 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $0 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $0 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $600 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $679 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $0 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $0 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $0 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $0 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $0 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $0 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $0 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $0 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $48,721 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $45,824 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $2,897 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $1,118 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $500 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $0 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $0 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $600 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $679 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $2,897 | DirectExpenseSummaryEventsAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,389,205 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $112,528 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,276,677 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01400 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,795,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,856,766 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,938,903 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,184,874 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,969,294 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,215,580 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06810 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $358,050 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,684 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $281,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,643,505 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,708,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,935,267 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03220 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,001,555 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,784,922 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,216,633 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03530 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,186,429 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,754,216 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,432,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10340 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,036,581 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $703,658 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $30,221,694 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $34,346,114 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,124,420 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|
| GNADEN HUETTEN MEMORIAL HOSPITAL | ||||||||||
| 1 | 211 NORTH 12TH STREET | LEHIGHTON | PA | 18235 | WWW.SLHN.ORG | 070501 | Yes (X) | Yes (X) | Yes (X) | 1 |
| PALMERTON HOSPITAL | ||||||||||
| 2 | 135 LAFAYETTE AVENUE | PALMERTON | PA | 18071 | WWW.SLHN.ORG | 070501 | Yes (X) | Yes (X) | Yes (X) | 1 |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE MOUNTAIN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SLHN.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SLHN.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SLHN.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.SLHN.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SLHN.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, QUESTION 5 | IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") THIS ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ITS HOSPITAL FACILITIES. THE CHNA INCLUDED THREE SEPARATE DATA COLLECTION STRATEGIES: 1) A FOCUS GROUP WAS HELD ON MAY 11, 2016 DURING A REGULARLY SCHEDULED MEETING OF THE CARBON COUNTY INTERAGENCY COUNCIL. THE CARBON COUNTY INTERAGENCY COUNCIL IS COMPOSED OF LEADERSHIP FROM NUMEROUS AGENCIES AND ORGANIZATIONS, REPRESENTING MATERNAL AND CHILD HEALTH, ELDER CARE, BEHAVIORAL HEALTH, COUNTY INFRASTRUCTURE, HEALTHCARE PROVIDERS AND SOCIAL SERVICES. IN ATTENDANCE AT THE MEETING WERE REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: - CARBON MONROE PIKE DRUG & ALCOHOL COMMISSION; - CARBON MONROE PIKE MENTAL HEALTH/DEVELOPMENT SERVICES; - DOMESTIC VIOLENCE SERVICE CENTER; - PATHSTONE/HEAD START; - VICTIMS RESOURCE CENTER; - PANTHER VALLEY SCHOOL DISTRICT; - TURN TO US; - OPERATION CAREER WEAR; - PA LINK TO AGING AND DISABILITIES; - COUNTY COMMISSIONERS GERHARD AND NOTHSTEIN; AND - STATE REPRESENTATIVE HEFFLEY. 2) KEY INFORMANT SURVEYS AND INTERVIEWS KEY INFORMANTS FROM THE FOLLOWING PROFESSIONAL FIELDS/WORKPLACES WERE SURVEYED: - FAMILY PRACTICE PHYSICIANS; - CARBON CAREER & TECHNICAL INSTITUTE; - THE ASSISTANT DIRECTOR OF WORKFORCE/COMMUNITY SERVICES AT A COMMUNITY COLLEGE; - FAMILY PRACTICE NURSE PRACTITIONERS; AND - STATE HEALTH NURSES WITH THE PA DEPARTMENT OF HEALTH. 3) AN ANALYSIS OF EXISTING SECONDARY DATA AND EXISTING COMMUNITY HEALTH MEASURES THE ORGANIZATION GATHERED THE MOST RECENT EXISTING PUBLIC HEALTH DATA FOR THE CARBON COUNTY AREA OF PENNSYLVANIA. FOR PURPOSES OF COMPARISON OF HEALTH INDICATORS AT THE COUNTY, STATE AND NATIONAL LEVEL, THE MAJORITY OF DATA WAS DRAWN FROM THE FOLLOWING SOURCES: - US CENSUS BUREAU (2010 CENSUS); - BUREAU OF LABOR STATISTICS; - PENNSYLVANIA DEPARTMENT OF HEALTH; - NATIONAL VITAL STATISTICS REPORT; - COUNTY HEALTH RANKINGS; - HEALTHY PEOPLE 2020; - THE NATIONAL CANCER INSTITUTE; - PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE; - THE STATE OF THE CHILD & FAMILY IN CARBON COUNTY; AND - CENTER FOR WORKFORCE INFORMATION & ANALYSIS. |
| SCHEDULE H, PART V, SECTION B, QUESTION 6A | THIS ORGANIZATION INCLUDES TWO HOSPITAL CAMPUSES, GNADEN HUETTON MEMORIAL HOSPITAL AND PALMERTON HOSPITAL. THESE HOSPITAL CAMPUSES ARE BOTH LOCATED IN CARBON COUNTY, PENNSYLVANIA AND THEREFORE HAVE IDENTICAL PRIMARY SERVICE AREAS. THE HOSPITAL FACILITIES WORKED TOGETHER TO ISSUE A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT. |
| SCHEDULE H, PART V, SECTION B, QUESTION 7 | THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK ("NETWORK"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE NETWORK'S WEBSITE: WWW.SLHN.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CAMPUS |
| SCHEDULE H, PART V, SECTION B, QUESTION 10 | THE ORGANIZATIONS CHNA INCLUDES APPENDIX A, THE 2016 CHNA LOGIC MODEL GOALS & OBJECTIVES. THIS APPENDIX REPRESENTS THE ORGANIZATIONS WRITTEN IMPLEMENTATION STRATEGY AS REQUIRED UNDER INTERNAL REVENUE CODE SECTION 501(R)(3). THE IMPLEMENTATION STRATEGY INCLUDES INFORMATION WITH RESPECT TO EACH IDENTIFIED COMMUNITY HEALTH NEED AS WELL AS THE GOALS, OBJECTIVES, STRATEGIES, ACTION STEPS AND METRICS RELATED TO EACH IDENTIFIED NEED. THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS INCLUDED WITHIN ITS CHNA. THESE DOCUMENTS ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA AND IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.SLHN.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CAMPUS |
| SCHEDULE H, PART V, SECTION B, QUESTION 11 | THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED HEALTH PROBLEMS THE COMMUNITY FACES AND BARRIERS THAT KEEP RESIDENTS OF THE COMMUNITY FROM BEING HEALTHY. SEVERAL PRIORITY AREAS WERE IDENTIFIED THROUGHOUT THE ASSESSMENT PROCESS. THESE PRIORITY AREAS INCLUDED: - DRUG ADDICTION (HEROIN, OPIOIDS/NARCOTICS); - DIABETES; - OBESITY; - MENTAL HEALTH; - DENTAL HEALTH; AND - OTHER CHRONIC ILLNESSES (HEART DISEASE, HYPERTENSION/STROKE AND CANCER). ADDITIONALLY, THE BARRIERS TO GOOD HEALTH IDENTIFIED THROUGHOUT THE ASSESSMENT PROCESS WERE: - COMPLEXITY OF CURRENT HEALTHCARE SYSTEM AND NOTABLY HIGH DEDUCTIBLES; - ACCESS TO COMMUNITY SERVICES (PARTICULARLY PROVIDERS WHO ACCEPT MA AND UNINSURED POPULATIONS EMPHASIZING MENTAL AND DENTAL HEALTH); - LACK OF PREVENTION/EDUCATION/TREATMENT SERVICES (PARTICULARLY RELATED TO DRUG ADDICTION); - TRANSPORATION; AND - SEDENTARY LIFESTYLE AND POOR DIET CONTRIBUTING TO OBESITY PROBLEMS ACROSS ALL AGES. THE HOSPITAL CONTINUES TO WORK ACROSS MANY OF THE OTHER IDENTIFIED NEEDS. AS THE NEEDS THAT WERE IDENTIFIED ARE NOT MUTUALLY EXCLUSIVE FROM ONE ANOTHER, IT IS THE HOSPITALS HOPE THAT BY ADEQUATELY ADDRESSING THE ABOVE NEEDS AND BARRIERS, THE OTHER NEEDS AND BARRIERS WILL BE INDIRECTLY IMPACTED AS WELL. AS OUTLINED IN THE ORGANIZATIONS IMPLEMENTATION STRATEGY THE FOLLOWING GOALS, OBJECTIVES AND STRATEGIES WILL BE IMPLEMENTED TO ADDRESS THE ABOVE MENTIONED COMMUNITY HEALTH NEEDS. BEHAVIORAL HEALTH DRUG, ALCOHOL & TOBACCO USE ("ATOD") ======================================================== GOAL: REDUCE THE NEGATIVE IMPACT OF ATOD USE ON THE RESIDENTS OF CARBON COUNTY AND THE SURROUNDING COMMUNITIES. OBJECTIVE: IMPROVE THE HEALTH SYSTEMS CAPACITY TO EFFECTIVELY ADDRESS ATOD ISSUES. STRATEGY: MAINTAIN A COMPREHENSIVE ATOD INTERNAL AND EXTERNAL PREVENTION, INTERVENTION AND TREATMENT PLAN FOR THE SYSTEM. ACTION STEPS: 1) CONTINUE TO IDENTIFY KEY PERSONNEL AND CREATE A SYSTEM WIDE ATOD TASK FORCE; 2) CONTINUE TO CONVENE TASK FORCE MEETINGS AND BEGIN THE ATOD STRATEGIC PLANNING PROCESS; AND 3) CONTINUE TO DISSEMINATE THE PLAN, SEEK LEADERSHIP APPROVAL AND IMPLEMENT THE STRATEGIES. STRATEGY: EDUCATE AND TRAIN PERSONNEL ON THE LOCAL ATOD PROBLEM AND BUILD AN ATOD ASSESSMENT, INTERVENTION AND REFERRAL CAPACITIES SYSTEM WIDE. ACTION STEPS: 1) DEVELOP BASIS ATOD 101 CURRICULUM TO TRAIN STAFF; 2) PARTNER WITH CMP, D&A AND OTHERS TO SECURE TRAINING ON ESTABLISHING "WARM HANDOFF" WHERE POSSIBLE FOR UNINTENTIONAL OVERDOSE; AND 3) PARTNER WITH CMP D&A AND OTHER TO SECURE SPECIALIZED CONSULTATION SERVICES WHEN D&A INTERVENTION SERVICES ARE NEEDED IN ICU & MED/SURG. OBJECTIVE: INCREASE THE NUMBER OF HEALTHCARE PROVIDERS WHO DO BRIEF INTERVENTIONS WITH THEIR PATIENTS WHO USE TOBACCO. STRATEGY: EDUCATE PROVIDERS REGARDING HOW TO DO A BRIEF INTERVENTION WITH PATIENTS WHO USE TOBACCO AND PROVIDE AN ARRAY OF SERVICE TO SUPPORT TOBACCO USERS WHO ARE READY TO QUIT. ACTION STEPS: 1) WORK WITH TOBACCO FREE NORTHEAST AND EAST CENTRAL AHEC TO SCHEDULE BRIEF INTERVENTION TRAININGS FOR HEALTHCARE PROVIDERS; AND 2) INCLUDE INFORMATION ON LOCAL CESSATION SERVICES AVAILABLE, THE QUITLINE AND HOW TO ACCESS AND FAX TO QUIT AND HOW IT IS UTILIZED. SPECIALIZED BEHAVIORAL HEALTH SERVICES ====================================== GOAL: IMPROVE ACCESS TO MENTAL HEALTH SERVICES FOR THOSE RESIDENTS WHO ARE UN OR UNDER INSURED, OR WHO ARE INCARCERATED IN THE CARBON COUNTY CORRECTIONAL FACILITIES BY REMOVING OBSTACLES (REAL OR PERCEIVED) THAT PREVENT ACCESS TO INTERVENTION AND TREATMENT SERVICES. OBJECTIVE: CONTINUE TO MAINTAIN A FULL CONTINUUM OF CARE FOR RESIDENTS WHO ARE SEEKING TREATMENT FOR BEHAVIORAL HEALTHCARE SERVICES INCLUDING THE PROVISION OF BASIS MEDICAL AND PSYCHIATRIC SERVICES AT THE CARBON COUNTY CORRECTIONAL FACILITY. STRATEGY: CONTINUE TO BUILD THE BHU'S OUTPATIENT LEVEL OF CARES (LOC). ACTION STEPS: 1) MAINTAIN CURRENT COMPLEMENT OF PSYCHIATRIST DURING THE NEXT THREE YEARS; AND 2) CONTINUE TO PROVIDE MEDICAL AND PSYCHIATRIC SERVICES AT THE CARBON COUNTY CORRECTIONAL FACILITY. OBJECTIVE: PROVIDE COMMUNITY EDUCATION OR SUPPORT PROGRAMS OR SERVICES TO THE COMMUNITY FREE OF CHARGE. STRATEGY: PROVIDE SPACE FOR MEETINGS AND/OR ASSIGN STAFF TO FACILITATE OR CONSULT WITH COMMUNITY GROUPS/ORGANIZATIONS IN AN EFFORT TO PROVIDE EDUCATION AND SUPPORT SERVICES FOR INDIVIDUALS OR FAMILY MEMBERS WHO ARE AFFECTED BY MENTAL ILLNESS. ACTION STEPS: 1) CONTINUE TO SUPPLY MEETING SPACE AND SUPPORT FOR THE "SURVIVORS OF SUICIDE" SUPPORT GROUPS; 2) CONTINUE TO SUPPLY STAFF AND OTHER RESOURCES TO CONDUCT COMMUNITY BASED "DEPRESSION SCREENINGS" AS SCHEDULED; AND 3) CONTINUE TO SUPPLY, ON AN AD HOC BASIS, STAFF AND RESOURCES NEEDED TO CONDUCT OTHER TYPES OF INTERVENTION PROGRAMS OR SERVICES AS IDENTIFIED. OBJECTIVE: REMOVE FINANCIAL OBSTACLES WHENEVER POSSIBLE AND EVALUATE ALL CONSUMERS FOR ADMISSIONS TO ALL LEVELS OF SERVICE REGARDLESS OF THEIR ABILITY TO PAY. STRATEGY: OFFER FINANCIAL COUNSELING TO ALL CLIENTS WITH MENTAL HEALTH ISSUES AND WHEN POSSIBLE PROVIDE FULL OR PARTIAL REDUCTIONS IN CHARGES FOR THESE SERVICES. ACTION STEPS: 1) CONTINUE TO OFFER FINANCIAL COUNSELING TO ALL NON-INSURED OR UNDERINSURED PATIENTS; 2) ASSIST PATIENTS IN THE APPLICATION PROCESS FOR BOTH MEDICAID AND FINANCIAL ASSISTANCE; AND 3) GRANT FINANCIAL ASSISTANCE TO CERTAIN NON-EMERGENT, UNINSURED PATIENTS IDENTIFIED BY THE CRISIS WORKERS. DENTAL HEALTH ============= GOAL: CONTINUE TO PROVIDE DENTAL HEALTH SERVICES FOR UN AND UNDERINSURED CHILDREN IN CARBON COUNTY AND ITS SURROUNDING COMMUNITIES. OBJECTIVE: IMPROVE THE DENTAL HEALTH FOR LOW INCOME CHILDREN BY PROVIDING THEM WITH A MOBILE DENTAL HOME. STRATEGY: DEPLOY THE BMHS HEALTHY SMILES HAPPY KIDS MOBILE DENTAL VAN TO THE FIVE CARBON COUNTY SCHOOL DISTRICTS, THE TAMAQUA AREA SCHOOL DISTRICT AND THE CARBON & SCHUYLKILL COUNTY HEAD START PROGRAMS. ACTION STEPS: 1) CONTINUE TO PROVIDE ANNUAL DEPARTMENT OF HEALTH MANDATED DENTAL EXAMS TO ALL GRADE LEVEL APPROPRIATE STUDENTS AS REQUESTED BY THE SCHOOL DISTRICT; 2) CONTINUE TO PROVIDE BI-ANNUAL CHECK-UPS, CLEANINGS AND WHEN NECESSARY RESTORATION SERVICES; AND 3) CONTINUE TO PROVIDE REFERRAL SERVICES TO PEDIATRIC SPECIALIST OR HIGHER LEVEL OF CARE WHEN CLEANING OR RESTORATION CANNOT BE ACCOMPLISHED ON THE VAN. OBJECTIVE: ENSURE THE FUTURE SUSTAINABILITY OF THE DENTAL VAN STRATEGY: HOLD MEETINGS AND ENGAGE THE CARBON COUNTY CORPORATE COMMUNITY, COMMUNITY GROUPS AND OTHER INDIVIDUALS WITH WEALTH IN ANNUALLY FUNDRAISING EFFORTS. ACTION STEPS: 1) CONTINUE TO KEEP KEY PARTNERS INFORMED ON PROGRESS AND PROBLEMS BEING EXPERIENCED DURING SERVICE DELIVERY; AND 2) CONTINUE TO EXPLORE THE DEVELOPMENT OF AN HSHK AUXILIARY WITH THE CARBON COUNTY CHAMBER OF COMMERCE/ECONOMIC DEVELOPMENT OFFICE. CHRONIC ILLNESS ============== GOAL: TO IMPROVE THE HEALTH OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES BY CREATING A COMPREHENSIVE MENU OF SERVICES DESIGNED TO PRECLUDE OR REDUCE THE INCIDENCE OF CHRONIC DISEASE OR ILLNESSES. OBJECTIVE: PROVIDE EDUCATION, SCREENING AND COMMUNITY SUPPORT SERVICES THAT ADDRESS VARIOUS CHRONIC DISEASES AND ILLNESSES THAT AFFECT THE BMHS SERVICE AREA. STRATEGY: EDUCATE THE COMMUNITY BY PROVIDING ACCESS TO THE LATEST MEDICAL INFORMATION ON CHRONIC DISEASES AND ILLNESSES BY PROVIDING THEM WITH ACCESS TO LECTURES AND EDUCATIONAL MATERIALS ON THE PREVENTION, EARLY DETECTION AND TREATMENTS AVAILABLE. ACTION STEPS: 1) OBESITY: CONTINUE TO PROMOTE HEALTHY LIFESTYLE FROM CHILDHOOD THROUGH OLD AGE THROUGH EDUCATION OF ASSOCIATED RISK FACTORS, ADOPTION OF HEALTHY EATING HABITS AND BENEFITS OF EXERCISE; 2) DIABETES: CONTINUE TO PROMOTE SELF-MANAGEMENT OF DIABETES THROUGH EDUCATION TO PROMOTE HEALTHY EATING AND PHYSICAL ACTIVITY, UNDERSTANDING OF HYPOGLYCEMIC MEDICATIONS, AND KNOWLEDGE OF COMPLICATIONS ASSOCIATED WITH DIABETES; AND 3) HEART DISEASE: CONTINUE TO PROVIDE EDUCATION TO THE COMMUNITY ON THE PREVENTION OF HEART DISEASE, PROMOTION OF A HEALTHY LIFESTYLE THROUGH FREE BP AND CHOLESTEROL SCREENINGS AT HEALTH FAIRS, SENIOR CENTERS AND SHOPPING MALLS. STRATEGY #2: PROVIDE ACCESS TO ALL TYPES OF SCREENING AND INTERVENTIONAL SUPPORT SERVICES THAT WILL ASSIST INDIVIDUALS IN DETERMINING THEIR LEVEL OF RISK AND READINESS TO CHANGE AT RISK BEHAVIORS. ACTION STEPS: 1) PARTICIPATE IN AND/OR SPONSOR EVENTS THAT PROMOTE WELLNESS: ANNUAL GREAT AMERICAN SMOKE OUT, THE BMHS 5K RUNS AND LOCAL CANCER "RELAY FOR LIFE" EVENTS; 2) PROVIDE BLOOD PRESSURE, GLUCOSE, CHOLESTEROL AND BODY MASS INDEX SCREENINGS AT VARIOUS COMMUNITY HEALTH FAIRS AS WELL AS PROVIDE HOSPITAL BASED DIABETIC EDUCATION AND BARIATRIC SUPPORT GROUPS SERVICES TO THOSE MOST AT RISK; AND 3) PROVIDE FREE PNEUMONIA AND INFLUENZA INOCULATION CLINICS AT VARIOUS LOCATIONS ACROSS THE COUNTY FOR THE UNINSURED AND UNDER INSURED AS WELL AS OLDER ADULTS AND OTHER AT RISK GROUPS. OBJECTIVE: IMPROVE THE HEALTH OF UNINSURED OR UNDER INSURED WOMEN RESIDENTS OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES BY PROVIDING THEM WITH A COMPREHENSIVE CANCER |
| SCHEDULE H, PART V, SECTION B, QUESTION 16 | THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK ("NETWORK"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE NETWORK. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE NETWORK'S WEBSITE: WWW.SLHN.ORG/PAY-BILLS/PAYMENT-OPTIONS/FINANCIAL-ASSISTANCE-POLICIES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| PHYSICAL THERAPY AT ST LUKE'S | ||||
| 614 INTERCHANGE ROAD | KRESGEVILLE | PA | 18333 | OUTPATIENT SERVICES- PHYSICAL THERAPY |
| ST LUKE'S WOUND MGMT & HYPERBARIC CTR | ||||
| 525 IRON STREET | LEHIGHTON | PA | 18235 | OUTPATIENT SERVICES- WOUND CARE & ADULT DAY CARE |
| PHYSICAL THERAPY AT ST LUKE'S | ||||
| 217 FRANKLIN AVENUE | PALMERTON | PA | 18071 | OUTPATIENT SERVICES - PHYSICAL THERAPY |
| PHYSICAL THERAPY AT ST LUKE'S | ||||
| 426 WEST RAILROAD STREET | NESQUEHONING | PA | 18240 | OUTPATIENT SERVICES - PHYSICAL THERAPY |
| ST LUKE'S HEART & VASCULAR CENTER | ||||
| 1241 BLAKESLEE DRIVE EAST | LEHIGHTON | PA | 18235 | OUTPATIENT SERVICES - CARDIAC & NUCLEAR TESTING |
| ST LUKE'S HEART & VASCULAR CENTER | ||||
| 17 WEST BROAD STREET | TAMAQUA | PA | 18252 | OUTPATIENT SERVICES - CARDIOLOGY |
| ST LUKE'S HEART & VASCULAR CENTER | ||||
| 1510 FAWN VALLEY ROAD | KRESGEVILLE | PA | 18322 | OUTPATIENT SERVICES - CARDIOLOGY & VASCULAR LAB |
| ST LUKE'S LABORATORY SERVICES | ||||
| 1580 CENTER AVENUE | JIM THORPE | PA | 18229 | OUTPATIENT SERVICES - BLOOD DRAW LAB |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | THE ORGANIZATION HAS A LONG TRADITION OF SERVING THE POOR, THE NEEDY, AND ALL WHO REQUIRE HEALTHCARE SERVICES. IN ORDER TO PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY SERVED, INDIVIDUALS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS SHALL BE ELIGIBLE FOR FREE OR DISCOUNTED EMERGENCY OR MEDICALLY NECESSARY HEALTHCARE SERVICES BASED ON ESTABLISHED CRITERIA. ELIGIBILITY CRITERIA IS BASED UPON THE FEDERAL POVERTY GUIDELINES AND IS UPDATED ANNUALLY IN CONJUNCTION WITH THE PUBLISHED UPDATES BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. IF A DETERMINATION IS MADE THAT THE PATIENT HAS THE ABILITY TO PAY ALL OR A PORTION OF THEIR BILL, SUCH A DETERMINATION DOES NOT PREVENT A REASSESSMENT OF THE PERSON'S ABILITY TO PAY AT A LATER DATE. IN ACCORDANCE WITH THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, PATIENTS ARE ELIGIBLE FOR A 100% REDUCTION FROM CHARGES (I.E. FULL WRITE-OFF) IF THE PATIENTS HOUSEHOLD INCOME IS AT OR BELOW 200 PERCENT OF THE CURRENT FEDERAL POVERTY GUIDELINES. PATIENTS WITH HOUSEHOLD INCOME THAT EXCEEDS 200% BUT IS LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR A SLIDING SCALE DISCOUNT. ADDITIONALLY, THE FINANCIAL ASSISTANCE COMMITTEE WILL CONSIDER MEDICALLY NEEDY PATIENT ACCOUNTS ON A CASE BY CASE BASIS. THE DISCOUNT TO BE APPLIED WILL BE BASED ON A DETERMINATION OF WHAT THE FAMILY COULD REASONABLY BE EXPECTED TO PAY, BASED ON A REVIEW OF CURRENT DISPOSABLE INCOME AND EXPENSES. |
| SCHEDULE H, PART I, LINE 6A | NOT APPLICABLE. |
| SCHEDULE H, PART I, LINE 7 | SUBSIDIZED HEALTH SERVICES INCLUDED WITHIN SCHEDULE H, PART I, LINE 7 FOR GNADEN HUETTEN MEMORIAL HOSPITAL AND PALMERTON HOSPITAL INCLUDE PRIMARY CARE AND EMERGENCY DEPARTMENT SERVICES. THE EMERGENCY DEPARTMENTS LOCATED AT GNADEN HUETTEN MEMORIAL HOSPITAL AND PALMERTON HOSPITAL PROVIDE AROUND-THE-CLOCK EMERGENCY SERVICES TO THE SURROUNDING COMMUNITIES WITHIN CARBON COUNTY. THESE HEALTHCARE SERVICES ARE PROVIDED TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. |
| SCHEDULE H, PART II | BLUE MOUNTAIN HOSPITAL HAS DIRECT INVOLVEMENT IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT PROMOTE AND IMPROVE THE HEALTH STATUS AND GENERAL BETTERMENT OF THE COMMUNITIES SERVED BY THE HOSPITAL. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. |
| SCHEDULE H, PART III, LINES 2, 3 & 4 | BAD DEBT EXPENSE WAS CALCULATED USING THE ORGANIZATION'S BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. ALLOWANCE FOR DOUBTFUL ACCOUNTS ------------------------------- THE NETWORK RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OF PATIENTS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING HISTORICAL DATA AND TRENDS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND COLLECTION EFFORTS CEASE. CHARITY CARE ------------ THE NETWORK PROVIDES CARE TO ALL PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FOR SERVICES TO PATIENTS WHO MEET THE NETWORK'S GUIDELINES FOR CHARITY CARE ARE NOT REFLECTED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CHARGES ASSOCIATED WITH THESE SERVICES FOR CHARITY CARE PROVIDED BY THE NETWORK APPROXIMATE $64,508,825 AND $100,156,452 IN 2018 AND 2017, RESPECTIVELY. THE COSTS INCURRED TO PROVIDE SUCH CARE IS DETERMINED USING A COST TO CHARGE RATIO AND WERE APPROXIMATELY $8,000,000 AND $13,500,000 FOR 2018 AND 2017, RESPECTIVELY. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT FILED BY THE ORGANIZATION. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE INTERNAL REVENUE SERVICE ("IRS"). THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE", A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE: IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THERE ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 10% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS |
| SCHEDULE H, PART III, LINE 9B | THE ORGANIZATION DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENTS GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FINANCIAL ASSISTANCE AND A PATIENTS GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS. THE CREDIT AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING THE FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT. ALL PATIENTS WITH AN OUTSTANDING BALANCE ARE SENT A STATEMENT. INCLUDED IN THIS STATEMENT IS THE CONTACT INFORMATION TO PURSUE FINANCIAL ASSISTANCE. PAYMENT OF OUTSTANDING PATIENT BALANCES ARE PURSUED USING THE ORGANIZATIONS STANDARD COLLECTION PRACTICES WHICH INCLUDE: - 30 DAY BILLING CYCLE WITH A TOTAL OF 5 BILLS SENT TO THE PATIENT; - ACCOUNT BALANCE NOT ON A PAYMENT PLAN OR NOT PAID IN FULL AFTER THE 120 DAY BILLING CYCLE ARE SENT TO A PRIMARY COLLECTION AGENCY; - IF PRIMARY COLLECTION AGENCY IS UNABLE TO COLLECT PAYMENT WITHIN 120 DAYS THE ACCOUNT WILL BE SENT TO A SECONDARY COLLECTION AGENCY; - BALANCES NOT PAID TO THE SECONDARY COLLECTION AGENCY WILL BE REPORTED TO THE CREDIT BUREAU AND LOGGED AS BAD DEBT; - BAD DEBT RECOVERIES WILL BE OFFSET WITHIN THE FISCAL YEAR THE RECOVERY OCCURS. THE ORGANIZATION MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS. TO IDENTIFY CIRCUMSTANCES WHEN THE ORGANIZATION MAY PROVIDE CARE FOR A PATIENT WHOSE FINANCIAL STATUS MAKES IT IMPRACTICAL OR IMPOSSIBLE TO PAY THE PATIENT PORTION BALANCE IN A LUMP SUM PAYMENT. THE PROVISION OF PAYMENT ARRANGEMENTS WILL FOLLOW THE CURRENT PAYMENT PLAN GUIDELINES ESTABLISHED AT THE TIME OF THE DETERMINATION. DISCUSSION WITH THE PATIENT ABOUT THEIR FINANCIAL RESPONSIBILITIES WILL BE MADE WITH AN ACCOUNT RESOLUTION APPROACH. TO ASSIST THE PATIENT IN MEETING THEIR FINANCIAL RESPONSIBILITIES, THE ORGANIZATION ALLOWS FOR PATIENTS TO MAKE PAYMENT ARRANGEMENTS. IF THE PATIENT/GUARANTOR QUALIFIES FOR A PAYMENT PLAN, THEN THE CUSTOMER SERVICE REPRESENTATIVE/FINANCIAL COUNSELOR/PATIENT FINANCIAL SERVICES REPRESENTATIVE WILL INFORM THE PATIENT ABOUT THEIR RESPONSIBILITIES UNDER THE PAYMENT ARRANGEMENT PROGRAM AS DETAILED IN THE PAYMENT PLAN GUIDELINES ALONG WITH UPDATING THE PATIENT ACCOUNTING SYSTEM TO AUTOMATICALLY PROCESS THE PAYMENT SCHEDULE. ALL FINANCIAL COUNSELORS WILL INFORM THE PATIENT/GUARANTOR OF THE PAYMENT PLAN POLICY. IF THE PATIENT CANNOT MEET THE PAYMENT ARRANGEMENT PROGRAM, THE PATIENT WILL BE EVALUATED FOR FINANCIAL ASSISTANCE. PAYMENT PLANS ON PARTIAL CHARITY ACCOUNTS NEED TO BE INDIVIDUALLY DEVELOPED WITH THE PATIENT FOLLOWING THE GUIDELINES ESTABLISHED FOR PAYMENT PLANS. THE ORGANIZATION DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, DEBT COLLECTION ACTIVITIES ARE NOT PERMITTED IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR FINANCIAL ASSISTANCE. THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT FOR CARE BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE. COLLECTION PROCEDURES MAY INCLUDE: LETTERS REQUESTING PAYMENT, PHONE CALLS REQUESTING THE RESOLUTION OF THE PATIENT BALANCE, LETTERS INDICATING THE ACCOUNT MAY BE SENT TO AN ATTORNEY OR COLLECTION AGENCY. IN SOME CASES THE ORGANIZATION MAY AUTHORIZE LEGAL ACTION PER PENNSYLVANIA LAW. SUCH LEGAL ACTION MAY RESULT IN A JUDGMENT BEING ENTERED AGAINST THE PATIENT. |
| SCHEDULE H, PART VI; QUESTION 2 | THE ORGANIZATION CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPED AN IMPLEMENTATION PLAN WITH STRATEGIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THE PROCESS, CONDUCTED BY EAST CENTRAL PA AREA HEALTH EDUCATION CENTER ("ECPA AHEC"), USED AN ANALYSIS OF EXISTING SECONDARY DATA AND EXISTING COMMUNITY HEALTH MEASURES, KEY INFORMANT SURVEYS AND INTERVIEWS, AND A FOCUS GROUP TO IDENTIFY AND PRIORITIZE HEALTH PROBLEMS AND RISK FACTORS IN THE CARBON COUNTY SERVICE AREA. AFTER ANALYZING THIS DATA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, BMHS DEVELOPED AN IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES. THE IMPLEMENTATION PLAN WAS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AT THE ANNUAL STRATEGIC PLANNING RETREAT ON JULY 23, 2016. THE FINAL APPROVED VERSION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN IS AVAILABLE TO THE PUBLIC ON THE HEALTH SYSTEMS WEBSITE. WITH THE COLLABORATION AFFORDED BY BLUE MOUNTAIN LEADERSHIP AND KEY COMMUNITY PARTNERS, THE GOALS, OBJECTIVES, AND OUTCOME MEASURES DEFINED FOR THE IMPLEMENTATION PLAN WILL BE REVIEWED ON AN ANNUAL BASIS FOR THE IMPROVEMENT AND POSITIVE IMPACT OF THE IDENTIFIED/PERCEIVED HEALTH NEEDS OF THE COMMUNITY. POST-ASSESSMENT MEETINGS WERE HELD WITH BOTH THE BLUE MOUNTAIN HEALTH SYSTEMS COMMUNITY BENEFIT PLAN STEERING COMMITTEE AND THE CARBON COUNTY INTERAGENCY COUNCIL TO REPORT THE FINDINGS AND GAIN FURTHER INPUT AND ASSISTANCE WITH THE PRIORITIZATION OF HEALTH NEEDS. |
| SCHEDULE H, PART VI; QUESTION 3 | THE ORGANIZATION IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO OUR COMMUNITY AND IS COMMITTED TO A SERVICE EXCELLENCE PHILOSOPHY THAT STRIVES TO MEET OR EXCEED PATIENT EXPECTATIONS. ALL PATIENTS WILL RECEIVE A UNIFORM STANDARD OF CARE THROUGHOUT ALL SYSTEM HEALTH FACILITIES, REGARDLESS OF SOCIAL, CULTURAL, FINANCIAL, RELIGIOUS, RACIAL, GENDER OR SEXUAL ORIENTATION FACTORS. THE ORGANIZATION STRIVES TO ENSURE THAT ALL PATIENTS RECEIVE ESSENTIAL EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. THE ORGANIZATION IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, INELIGIBLE FOR GOVERNMENT ASSISTANCE, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. ALL PERSONS WHO PRESENT THEMSELVES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES ARE ADMITTED AND TREATED; THEY ARE REGISTERED AS PATIENTS OF THE HOSPITAL AND RECEIVE ANY NECESSARY SERVICES AS PRESCRIBED BY THE PATIENTS PHYSICIAN. A PROSPECTIVE PATIENT IS NEVER DENIED NECESSARY HEALTHCARE SERVICES ON THE BASIS OF THEIR ABILITY TO PAY. THE ORGANIZATION DOES ITS BEST TO EDUCATE AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. FOR THE BENEFIT OF THE PATIENTS, THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE ALL AVAILABLE ON-LINE. ADDITIONALLY, PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE THE HOSPITAL FACILITY REGISTRATION AREAS WHICH INCLUDE EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS AND PATIENT FINANCIAL SERVICES. THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE IN ENGLSH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTES THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE SYSTEM'S PRIMARY SERVICE AREA. SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS DEPARTMENT AND REGISTRATION DEPARTMENT THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE ORGANIZATION ALSO MAKES REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE REFERRALS CAN BE MADE BY A MEMBER OF THE HOSPITAL STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS AND RELIGIOUS SPONSORS. ALL PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE INTAKE OR DISCHARGE PROCESS. ADDITIONALY, FINANCIAL COUNSELORS AND REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS WITH QUESTIONS CONCERNING CHARGES, PAYMENTS OR ANY OTHER CONCERNS. |
| SCHEDULE H, PART VI; QUESTION 4 | LOCATED IN NORTHEASTERN PENNSYLVANIA, APPROXIMATELY 90 MILES WEST OF NEW YORK CITY AND 90 MILES NORTHEAST OF PHILADELPHIA, CARBON COUNTY IS BORDERED ON THE NORTH BY LUZERNE COUNTY, ON THE EAST BY MONROE COUNTY, ON THE WEST BY SCHUYLKILL COUNTY AND ON THE SOUTH BY LEHIGH AND NORTHAMPTON COUNTIES. THE NORTHERN AND EASTERN PORTIONS OF THE COUNTY ARE PART OF THE POCONO MOUNTAINS REGION OF THE COMMONWEALTH. HALF OF THE COUNTYS GEOGRAPHIC AREA IS CONSIDERED "RURAL" ALTHOUGH DUE TO ITS PROXIMITY TO LEHIGH COUNTY IS TYPICALLY NOT CONSIDERED UNDERSERVED. AT THE CURRENT TIME, THE COUNTY IS EXPERIENCING GROWTH IN POPULATION AND INDUSTRY PRIMARILY RELATED TO THE WESTWARD MOVEMENT OF THE EAST COAST METROPOLITAN AREA. COMPARED TO 16.7% ON THE STATEWIDE LEVEL, 19.6% OF THE POPULATION OF CARBON COUNTY IS OLDER ADULTS, AGE 65 OR OLDER. THIS TREND IS EXPECTED TO CONTINUE. ACCORDING TO 2010 CENSUS ESTIMATES, APPROXIMATELY 96% OF INDIVIDUALS IN CARBON COUNTY IDENTIFIED THEIR RACE AS "WHITE". THE U.S. CENSUS BUREAUS 2014 ESIMATES REFLECT THE SAME APPROXIMATE PERCENTAGE (96.1%). THE COUNTY LAGS BEHIND THE STATE OF PA AS A WHOLE IN THE PROPORTION OF AFRICAN AMERICANS AND OTHER MINORITIES. NEIGHBORING LEHIGH AND NORTHAMPTON COUNTIES, HOWEVER, SHOW STATISTICS OF 20% AND 11% OF HISPANICS/LATINOS (COMPARED TO 6% STATEWIDE). ACCORDING TO THE CENTER FOR WORKFORCE INFORMATION & ANALYSIS, CARBON COUNTYS UNEMPLOYMENT RATE HAS BEEN TRENDING DOWNWARD SINCE A HIGH OF 11% IN 2009-2010. IT CURRENTLY STANDS AT 5.8%, RELATIVELY CLOSE TO THE STATE RATE OF 5.3%. PER CAPITA PERSONAL INCOME OF CARBON COUNTY RESIDENTS IS LOWER THAN THE STATE AVERAGE: $38,866 VS $47,679. MEDIAN HOUSEHOLD INCOME IS $49,913 VS THE STATES $53,115. OVERALL, CARBON COUNTY RANKS 58TH (OF 67 COUNTIES) IN HEALTH OUTCOMES RELATED TO MORTALITY, MORBIDITY, HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL & ECONOMIC FACTORS AND PHYSICAL ENVIRONMENT. NOTE THAT THIS IS A DECREASE SINCE THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, WHEN CARBON COUNTY WAS RANKED 49TH OF 67 COUNTIES. THE COUNTY IS RANKED 60TH IN LENGTH OF LIFE AND 46TH IN QUALITY OF LIFE, WHICH INCLUDES POOR OR FAIR HEALTH, POOR PHYSICAL HEALTH DAYS, POOR MENTAL HEALTH DAYS, AND LOW BIRTH WEIGHT. NATIONAL 2016 STATISTICS CITE THAT APPROXIMATELY 11% OF THE NATIONS POPULATION DID NOT HAVE ANY TYPE OF HEALTH INSURANCE AT SOME POINT DURING THE YEAR. IN CARBON COUNTY, ESTIMATES SUGGEST THAT ROUGHLY 12% OF ALL ADULTS BETWEEN THE AGES OF 18 AND 65 LACKED HEALTH INSURANCE. ANOTHER MEASURE OF ACCESS TO CARE RELATES TO THE PRIMARY CARE PROVIDER RATE, OR THE POPULATION TO PHYSICIAN RATIO. THE NATIONAL BENCHMARK FOR POPULATION TO PRIMARY PHYSICIAN RATIO IS 1,040:1. IN PENNSYLVANIA, THAT RATIO IS 1,220:1, AND IN CARBON COUNTY THE RATIO IS 2,090:1, WELL ABOVE BOTH NATIONAL AND STATE PERCENTAGES. IN THE ORAL HEALTH FIELD, THE NATIONAL BENCHMARK (FOR DENTISTS) IS 1,340:1. IN PENNSYLVANIA, THE RATIO IS 1,550:1 AND IN CARBON COUNTY 2,390:1. IN THE MENTAL HEALTH FIELD, THE NATIONAL BENCHMARK FOR MENTAL HEALTH PROVIDERS IS 370:1. IN PENNSYLVANIA, THE RATIO IS 580:1, AND IN CARBON COUNTY, 1,840:1. |
| SCHEDULE H, PART VI; QUESTION 5 | THE ORGANIZATIONS MEDICAL STAFF IS AN OPEN MEDICAL STAFF ALLOWING SUBMISSIONS FOR PRIVILEGES AND CREDENTIALING FROM ANY INTERESTED PHYSICIAN OR SURGEON. THE BOARD OF TRUSTEES IS COMPRISED OF INDIVIDUALS FROM VARIOUS COMMUNITY ORGANIZATIONS SUCH AS FINANCIAL INSTITUTIONS, TELECOMMUNICATION, RECREATION AND REPRESENTATION FROM THE MEDICAL STAFF. HEALTH EDUCATION PROGRAMMING ============================ - PROVIDES MORE THAN 30 EDUCATIONAL PROGRAMS AND SCREENINGS (NATIONAL CHOLESTEROL MONTH DINNER & LECTURE PROGRAM, WEIGHT LOSS SURGERY, AARP DRIVING CLASS, LUNG CANCER EDUCATION, DIABETES EDUCATION, STRESS/STROKE SCREENINGS, CARBON COUNTY DOMESTIC VIOLENCE, FAMILY CAREGIVER TRAINING NIGHT, CARBON COUNTY DRUG & ALCOHOL PROGRAM; LOOK GOOD...FEEL BETTER WITH AMERICAN CANCER SOCIETY, NEW TO MEDICARE CO-SPONSORED WITH CARBON COUNTY AREA AGENCY ON AGING, HEART HEALTH FAIR, AMERICAN HEART MONTH LUNCH 'N LEARN, LETS TALK ABOUT WOUND CARE AND ADULT DAY SERVICE, CARBON COUNTY SAFE KIDS AND SENATOR YUDICHAK COMMUNITY SAFETY DAY, PANTHER VALLEY CAREER DAY, SAFE KIDS CAR SEAT CHECK, AND MENTAL HEALTH DEPRESSION OUTREACH ASSESSMENTS); - SERVES AS A MEDICAL TRAINING/CLINICAL EDUCATION SITE FOR AREA COLLEGES AND SCHOOLS SUCH AS CEDAR CREST COLLEGE, WILKES UNIVERSITY, KINGS COLLEGE, KUTZTOWN UNIVERSITY, DESALES UNIVERSITY, MARYWOOD UNIVERSITY, UNIVERSITY OF SCRANTON, LEHIGH CARBON COMMUNITY COLLEGE, LINCOLN TECHNICAL INSTITUTE, NORTHAMPTON AREA COMMUNITY COLLEGE, PENNSYLVANIA STATE UNIVERSITY, JOHNSON SCHOOL OF TECHNOLOGY, AND PENNSYLVANIA COLLEGE OF OSTEOPATHIC MEDICINE; - PROVIDES CPR/BLS/ACLS/PALS TRAINING TO COMMUNITY ORGANIZATIONS SUCH AS AMBULANCE/EMS, FIRE, POLICE AND TEACHERS; - PROVIDES "HEALTH IMAGES": A HEALTH SYSTEM-HOSTED TELEVISION PROGRAM FEATURING A VARIETY OF HEALTH AND WELLNESS INFORMATION AND EDUCATION; - HOSTS NEW SEASONS: A PROGRAM FOR ADULTS AGE 65 AND OLDER THAT OFFERS EXERCISE AND WELLNESS PROGRAMS SUCH AS YOGA AND LOW-IMPACT AEROBICS, NEW SEASONS HEARING AID BATTERY BANK, AND THE NEW SEASONS ANNUAL HEALTH & INFORMATION FAIR. DENTAL NEEDS ------------ IN A CONTINUED EFFORT TO SUPPORT DENTAL CARE THE ORGANIZATION: - PROVIDED ADMINISTRATIVE AND OPERATIONS OVERSIGHT OF THE HEALTHY SMILES HAPPY KIDS DENTAL VAN, WHICH IS THE DENTAL HOME FOR OVER 900 MEDICAID ELIGIBLE CHILDREN FROM CARBON AND NORTHERN SCHUYLKILL COUNTIES. AS THERE ARE NO LOCAL DENTISTS WHO ACCEPT MA AS A PAYER, THIS VAN PROVIDES THESE CHILDREN WITH TWICE ANNUAL DENTAL SCREENINGS AND CLEANINGS; - PROVIDED PATIENTS WITH BASIS EDUCATION ON BRUSHING, FLOSSING AND BASIS DENTAL HEALTH HYGIENE; - APPLIED SEALANTS AND VARNISHED AS INDICATED AND ADDRESSES DENTAL CARRIES AND BASIC RESTORATIVE SERVICES THAT CAN BE DONE SAFELY ON THE VAN. WHEN NECESSARY THE STAFF, IN CONSULTATION WITH PARENTS, REFERS CHILDREN FOR SPECIALTY CARE SERVICES. THIS PAST FISCAL YEAR, AFTER 11 YEARS ON THE ROAD, THE VAN WAS IN NEED OF SOME MAJOR REPAIRS. THE BIG TICKET ITEMS INCLUDED THE REPLACEMENT OF THE FORWARD GENERATOR ON THE VAN. THE LEVELING STABILIZERS WERE REPAIRED AND THE VANS POWER STEERING PUMP WAS REPLACED. SOME MINOR BODY AND FENDER REPAIRS WERE ALSO MADE. THE DENTAL VAN STAFF, IN PARTNERSHIP WITH THE ST. LUKE'S COMMUNITY HEALTH DEPARTMENT HAS BECOME INVOLVED IN A COMMUNITY DENTAL PLANNING INITIATIVE, THE GOAL OF WHICH IS TO FIND FUNDING TO GOOD WILL AND SUPPORT NEEDED TO ROLL OUT A FIXED DENTAL CLINIC FOR UNINSURED AND UNDERINSURED ADULTS IN OUR SERVICE REGION. DRUG ADDICTION (SPECIFICALLY HEROIN/OPIOIDS/NARCOTICS) ------------------------------------------------------ CARBON COUNTY CONTINUES TO BE IMPACTED BY THE NATIONAL OPIOID CRISIS OR EPIDEMIC. AN IN-HOUSE "WARM HANDOFF" TASK FORCE WAS FORMED AND MEETINGS CONVENED. THE GROUP SUCCESSFULLY CREATED AN APPROPRIATE BRIEF INTERVENTION STRATEGY TO BE DEPLOYED IN BOTH EMERGENCY DEPARTMENTS AND INTENSIVE CARE UNITS. A DETAILED "WARM HANDOFF" POLICY AND PROCEDURE WAS DEVELOPED IN PARTNERSHIP WITH THE CARBON-MONROE-PIKE D&A COMMISSION, THE LOCAL SINGLE COUNTY AUTHORITY ("SCA"), AS WELL AS WITH THE SCA ASSESSMENT AND EMERGENCY DETOXIFICATION PROVIDER PYRAMID HEALTHCARE. EMERGENCY DEPARTMENT, BHU CRISIS WORKER AND ICU NURSING TRAINING ON THE WARM HANDOFF P&P WAS DEVELOPED AND PROVIDED TO KEY INDIVIDUALS IN CRISIS, THE ED AND THE ICU. A SYSTEM TO TRACK PATIENT ENGAGEMENT WAS STARTED, AND MONTHLY MEETINGS TO TRACK PROGRESS BEGAN WELL OVER A YEAR AGO. EMERGENCY DEPARTMENT PHYSICIAN BUY-IN WITH THE WARM HANDOFF P&P REMAINS A SERIOUS PROBLEM, AS THEY ARE STILL NOT CONSISTENTLY CONSULTING CRISIS WORKERS WHEN THEY ARE TREATING AN UNINTENTIONAL OVERDOSE IN THE EMERGENCY DEPARTMENT. ANOTHER AREA IDENTIFIED FOR IMPROVEMENT IS THE HOSPITALS CONTINUED FAILURE TO UTILIZE THE SCAS RECOVERY SPECIALISTS WITHIN THE HOSPITALS ED, BHU AND/OR INTENSIVE CARE UNITS. THESE INDIVIDUALS ARE AVAILABLE TO CONSULT "REAL-TIME" WITH PATIENTS WHO COULD BENEFIT FROM A CONVERSATION WITH SOMEONE FAMILIAR WITH SUBSTANCE ABUSE DISORDERS, THE DISEASE OF ADDICTION AND IN THE RECOVERY PROCESS AND PROGRAMS. THE CRISIS DEPARTMENT HAS SUCCESSFULLY CREATED A "GRAB AND GO" COMMUNITY RESOURCE PACKET FOR THOSE PATIENTS WHO REFUSE TO PARTICIPATE IN THE MORE COMPREHENSIVE WARM HANDOFF PROCEDURE. THE PACKET IS READILY AVAILABLE AND EASY TO PUT INTO THE HANDS OF A PATIENT OR CONCERNED FAMILY MEMBER. DESPITE THE GOVERNORS OPIOID EMERGENCY DECLARATION THERE IS A GENERAL LACK OF LEADERSHIP WITH REGARD TO THE TIMELY AND ACCURATE COLLECTION OF DATA FORM OPIATE PATIENT ENCOUNTERS AND OUTCOMES HAPPENING DAILY IN MOST HOSPITALS ACROSS THE STATE OF PENNSYLVANIA. MENTAL HEALTH ------------- THE ORGANIZATION IS ONE OF THE LARGEST PROVIDERS OF INPATIENT MENTAL HEALTH SERVICES IN THE REGION. IT CURRENTLY MAINTAINS 22 ADULT BEDS AT ITS GH CAMPUS AND 27 OLDER ADULT BEDS AT ITS PH CAMPUS. THE SYSTEM ALSO PROVIDES A PARTIAL HOSPITALIZATION AND OUTPATIENT PROGRAM AT ITS MEDICAL PLAZA IN BOWMANSTOWN, PA. FOR THE PAST THREE YEARS, THE SYSTEM HAS SUCCESSFULLY PROVIDED BOTH MEDICAL AND PSYCHIATRIC FORENSIC SERVICES FOR THE CARBON COUNTY CORRECTIONAL FACILITY, AS WELL AS THE FACILITATION OF WOMEN PRISONER GROUP THERAPY SERVICES UTILIZING A TRAUMA INFORMED CARE APPROACH. THIS IS AN ORGANIZATIONAL STRUCTURE AND TREATMENT FRAMEWORK THAT INVOLVES UNDERSTANDING, RECOGNIZING, AND RESPONDING TO THE EFFECTS OF ALL TYPES OF TRAUMA. TRAUMA INFORMED CARE ALSO EMPHASIZES PHYSICAL, PSYCHOLOGICAL AND EMOTIONAL SAFETY FOR BOTH CONSUMERS AND PROVIDERS, AND HELPS SURVIVORS REBUILD A SENSE OF CONTROL AND EMPOWERMENT. THE ORGANIZATION HAS BEEN AN ACTIVE PARTNER WITHIN THE CARBON COUNTY CRIMINAL JUSTICE ADVISORY BOARD AND SUCCESSFULLY PARTICIPATED IN THE WRITING OF THE CARBON COUNTY CITIZENS REENTRY PROGRAM. THE GOAL OF THIS PROGRAM IS AIMED AT A SMOOTH TRANSITION OF HIGH RISK CITIZENS BEING RELEASED FROM THE PRISON BACK INTO THE COMMUNITY. IMPLEMENTATION EFFORTS ARE CURRENTLY UNDERWAY AND THE ORGANIZATION REMAINS A COMMITTED PARTNER. ALTHOUGH THE SYSTEM WAS SUCCESSFUL IN RECRUITING A SECOND PSYCHIATRIST A FEW YEARS AGO, IT HAS BEEN UNABLE TO RECRUIT A THIRD PROVIDER. CHRONIC ILLNESS WOMEN'S CANCER PREVENTION EARLY INTERVENTION SERVICES --------------------------------------------------------------------- THIS PAST YEAR, WITH THE ASSISTANCE OF A GRANT FROM THE WOMENS 5K GRANT COMMITTEE, THE ORGANIZATION PROVIDED 67 WOMEN WITH PRIMARY CARE PHYSICIAN SCREENING, DISEASE EDUCATION, MAMMOGRAM REFERRAL WHEN APPROPRIATE AND FOLLOW-UP. IN PARTNERSHIP WITH THE FOUNDATION RADIOLOGY GROUP, 70 WOMEN WERE PROVIDED ACCESS TO FREE OR REDUCED 3D MAMMOGRAMS SERVICES, AND OF THAT 70 WOMEN, 10 WOMEN WERE REFERRED ON FOR ADDITIONAL INTERVENTION AND RECEIVED DIAGNOSTIC ULTRASOUND STUDIES. WOMENS WISE PROGRAM & LADIES NIGHT OUT: THIS SERVICE IN AN ONGOING PREVENTION/EDUCATION AND AWARENESS PROGRAM THAT INCLUDES THE STAGING OF BMHS CLASSES AND PROGRAM ACTIVITIES SPECIFIC TO WOMENS CANCER PREVENTION AND EARLY INTERVENTION. ITS ESTIMATED THAT AN ADDITIONAL 2,000 WOMEN ARE REACHED THROUGH THESE EFFORTS. |
| SCHEDULE H, PART VI; QUESTION 6 | OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE ST. LUKE'S UNIVERSITY HEALTH NETWORK: NOT FOR-PROFIT ST. LUKE'S UNIVERSITY HEALTH NETWORK ENTITIES: ============================================================= ST. LUKE'S HEALTH NETWORK, INC. ------------------------------- ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT OF THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("ST. LUKE'S"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THIS ORGANIZATION IS THE SOLE MEMBER OR STOCKHOLDER OF EACH AFFILIATED ENTITY. ST. LUKE'S IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATES OF PENNSYLVANIA AND NEW JERSEY. ST. LUKE'S HEALTH NETWORK, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION, ST. LUKE'S HEALTH NETWORK, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE NETWORK WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF PENNSYLVANIA AND NEW JERSEY AND SURROUNDING COMMUNITIES. ST. LUKE'S HEALTH NETWORK, INC. ENSURES THAT ITS NETWORK PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ST. LUKE'S ACTIVE HOSPITALS INCLUDE: ST. LUKE'S HOSPITAL OF BETHLEHEM, PA, ST. LUKE'S HOSPITAL ANDERSON CAMPUS, ST. LUKE'S HOSPITAL MONROE CAMPUS, ST. LUKE'S QUAKERTOWN HOSPITAL, CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. AND ST. LUKE'S WARREN HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN INTERNAL REVENUE SERVICE ("IRS") REVENUE RULING 69-545: 1. EACH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF ST. LUKE'S HEALTH NETWORK, INC. BOTH BOARDS ARE COMPRISED OF A MAJORITY OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA ---------------------------------------------- ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA IS COMPRISED OF TWO NON-PROFIT HOSPITAL CAMPUSES: A 480-BED CAMPUS IN BETHLEHEM, PENNSYLVANIA AND A 158 BED CAMPUS IN ALLENTOWN, PENNSYLVANIA. ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S AIRMED, LLC ---------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY IS CURRENTLY INACTIVE. ST. LUKE'S HOMESTAR SERVICES, LLC --------------------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY PROVIDES OUTPATIENT SERVICES IN BETHLEHEM, PENNSYLVANIA. POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC --------------------------------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY PROVIDES OUTPATIENT SERVICES IN BETHLEHEM, PENNSYLVANIA. EVANTAGE HEALTH, LLC -------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY IS CURRENTLY INACTIVE. ST. LUKE'S CARE, LLC -------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY PROVIDES CLINICAL SERVICES IN ALLENTOWN, PENNSYLVANIA. ST. LUKE'S SHARED SAVINGS PLAN, LLC ----------------------------------- A LIMITED LIABILITY COMPANY DISREGARDED FOR FEDERAL INCOME TAX PURPOSES OWNED BY ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA. THIS ENTITY IS LOCATED IN ALLENTOWN PENNSYLVANIA. THE ORGANIZATION IS CURRENTLY INACTIVE. ST. LUKE'S HOSPITAL ANDERSON CAMPUS ----------------------------------- ST. LUKE'S HOSPITAL ANDERSON CAMPUS IS A 108-BED NON-PROFIT HOSPITAL LOCATED IN EASTON, PENNSYLVANIA. ST. LUKE'S HOSPITAL ANDERSON CAMPUS IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ST. LUKE'S HOSPITAL ANDERSON CAMPUS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S HOSPITAL MONROE CAMPUS --------------------------------- ST. LUKE'S HOSPITAL MONROE CAMPUS IS A 108-BED NON-PROFIT COMMUNITY HOSPITAL LOCATED IN BARTONSVILLE, PENNSYLVANIA, MONROE COUNTY. ST. LUKE'S HOSPITAL MONROE CAMPUS IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ST. LUKE'S HOSPITAL MONROE CAMPUS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. ------------------------------------------ CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. DBA ST. LUKE'S MINERS MEMORIAL MEDICAL CENTER IS A 45-BED NON-PROFIT ACUTE CARE HOSPITAL LOCATED IN COALDALE, PENNSYLVANIA. CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S QUAKERTOWN HOSPITAL ------------------------------ ST. LUKE'S QUAKERTOWN HOSPITAL IS A 62-BED NON-PROFIT HOSPITAL LOCATED IN QUAKERTOWN, PENNSYLVANIA. ST. LUKE'S QUAKERTOWN HOSPITAL IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ST. LUKE'S QUAKERTOWN HOSPITAL OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S WARREN HOSPITAL, INC. -------------------------------- ST. LUKE'S WARREN HOSPITAL, INC. IS A 198-BED NON-PROFIT ACUTE CARE HOSPITAL LOCATED IN PHILLIPSBURG, NEW JERSEY. ST. LUKE'S WARREN HOSPITAL, INC. IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ST. LUKE'S WARREN HOSPITAL, INC. OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ST. LUKE'S PHYSICIAN GROUP, INC. -------------------------------- ST. LUKE'S PHYSICIAN GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ST. LUKE'S EMERGENCY & TRANSPORT SERVICES, INC. ----------------------------------------------- ST. LUKE'S EMERGENCY & TRANSPORT SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 170(B)(1)(A)(II |
| SCHEDULE H, PART VI; QUESTION 7 | NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA AND NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS REQUIRED TO BE FILED WITH EITHER PENNSYLVANIA OR NEW JERSEY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|
| ROBERT GROB DO | ||||||
| SECRETARY/TREASURER - TRUSTEE | $220,958 | $220,958 | ||||
| TERRENCE J PURCELL | ||||||
| TRUSTEE - PRESIDENT(EFF 01/18) | $283 | $210,136 | $159,506 | $16,787 | $33,560 | |
| ANDREW E HARRIS | ||||||
| TRUSTEE - PRES/CEO(TERM 12/17) | $16,536 | $649,622 | $440,224 | $44,377 | $15,355 | $133,130 |
| ANDREA L ANDRAE | ||||||
| VP/CFO (TERMED 12/31/17) | $128 | $202,936 | $163,362 | $16,613 | $22,833 | |
| HAMAYUN N AHMED MD | ||||||
| PSYCHIATRIST | $495 | $372,577 | $347,236 | $22,646 | $2,200 | |
| MOHAMMAD K KHAN MD | ||||||
| PSYCHIATRIST | $242 | $353,366 | $265,933 | $26,997 | $60,194 | |
| MUHAMMAD Z AJMAL MD | ||||||
| ANESTHESIOLOGIST | $15,696 | $347,150 | $305,931 | $25,523 | ||
| BRIAN A LEFROCK MD | ||||||
| ANETHESIOLOGIST | $670 | $334,903 | $312,313 | $21,920 | ||
| LARRY J MATURANI MD | ||||||
| INTERNIST | $2,794 | $320,151 | $246,358 | $24,021 | $46,978 | |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART VII AND SCHEDULE J | TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2017 FORMS W-2. |
| SCHEDULE J, PART I; QUESTION 1A | THE ORGANIZATION MAINTAINS A MEMBERSHIP IN A COUNTRY CLUB FOR BUSINESS PURPOSES. THE COUNTRY CLUB REQUIRES THAT AN INDIVIDUAL IS NAMED AS THE MEMBER; ACCORDINGLY DURING 2017 THE ORGANIZATION HAD DESIGNATED ITS PRESIDENT/CEO, ANDREW E. HARRIS, AS THE MEMBER. |
| SCHEDULE J, PART I; QUESTION 4B | THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: TERRENCE J. PURCELL, $16,787; ANDREW E. HARRIS, $44,377 AND ANDREA L. ANDRAE, $16,613. |
| SCHEDULE J, PART I; QUESTION 7 | CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS COMPENSATION DURING CALENDAR YEAR 2017 WHICH WERE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CARBON COUNTY HOSPITAL AUTHORITY | ||||||||
| A | 232280834 | 140868EN6 | 2012-02-23 | $6,306,819 | REFER TO SCHEDULE K, PART VI | false | false | false |
| CARBON COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 232280834 | 140868EE6 | 2012-02-23 | $2,456,652 | REFER TO SCHEDULE K, PART VI | false | false | false |
| CARBON COUNTY HOSPITAL AUTHORITY | ||||||||
| C | 232280834 | 140868EE6 | 2015-12-31 | $20,000,000 | REFER TO SCHEDULE K, PART VI | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,551,819 | $0 | $6,306,819 | $2,197,510 | $0 | $0 | $126,068 | $41,940 | $0 | $0 | $6,138,810 | $0 | 2012 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $2,456,652 | $578 | $0 | $0 | $49,133 | $15,809 | $0 | $0 | $2,387,228 | $0 | 2012 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $0 | $0 | $20,000,000 | $1,754,033 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2015 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0 | Yes (true) | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | 0 | Yes (true) | false | false | Yes (true) |
| C | false | false | false | false | 0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||
| A | false | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||
| B | false | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||
| C | false | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, COLUMN F | FormAndLineReferenceDesc |
| Explanation | THE PROCEEDS OF THE CARBON COUNTY HOSPITAL AUTHORITY SERIES 2012 (GNADEN) BONDS WERE USED TO REFUND THE SERIES 1999 BONDS, ESTABLISH A DEBT RESERVE FUND AND TO PAY THE COST OF ISSUANCE OF THE 2012 GNADEN BONDS. ADDITIONALLY, THE PROCEEDS OF THE CARBON COUNTY HOSPITAL AUTHORITY SERIES 2012 (PALMERTON) BONDS WERE USED TO REFUND THE HOSPITAL REVENUE BONDS, ESTABLISH A DEBT RESERVE FUND TO PAY COST OF ISSUANCE OF THE 2012 PALMERTON BONDS. THE PROCEEDS OF THE 2015 BONDS WERE USED TO FUND A PORTION OF THE HOSPITALS PENSION LIABILITY, FINANCE RENOVATION AND IMPROVEMENTS TO THE EXISTING FACILIATIES OF THE HOSPITAL, FINANCE VARIOUS OTHER CAPITAL IMPROVEMENTS, ESTABLISH A DEBT RESERVE FUND, AND TO PAY THE COSTS OF ISSUANCE OF THE 2015 BONDS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MAHONING VALLEY ORTHOPEDICS | |||
| TRUSTEE - GROB | $156,443 | MEDICAL SERVICES | false |
| CARDIOLOGY ASSOCIATES | |||
| TRUSTEE - MARKSON | $1,274,468 | MEDICAL SERVICES | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | ROBERT GROB, D.O., IS A TRUSTEE OF THE ORGANIZATION. DR. GROB IS A SHAREHOLDER OF MAHONING VALLEY ORTHOPEDICS. THE ORGANIZATION UTILIZED THE SERVICES OF MAHONING VALLEY ORTHOPEDICS, DURING THE YEAR ENDED JUNE 30, 2018. TOTAL FEES PAID TO MAHONING VALLEY ORTHOPEDICS WERE $156,443. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. WILLIAM MARKSON, M.D. IS A TRUSTEE OF THE ORGANIZATION. DR. MARKSON IS A SHAREHOLDER OF CARDIOLOGY ASSOCIATES. THE ORGANIZATION UTILIZED THE SERVICES OF CARDIOLOGY ASSOCIATES, DURING THE YEAR ENDED JUNE 30, 2018. TOTAL FEES PAID TO CARDIOLOGY ASSOCIATES WERE $1,274,468. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PAGE 1, BOX C | PLEASE NOTE, THIS ORGANIZATION FILED THE FOLLOWING FICTITIOUS NAME WITH THE COMMONWEALTH OF PENNSYLVANIA AND OPERATES UNDER THE FOLLOWING: - ST. LUKE'S HOSPITAL - PALMERTON CAMPUS - ST. LUKE'S HOSPITAL - GNADEN HUETTEN CAMPUS - THE SUMMIT AT BLUE MOUNTAIN NURSING & REHAB CENTER |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | ST. LUKE'S BLUE MOUNTAIN CAMPUSES --------------------------------- BLUE MOUNTAIN HOSPITAL (GNADEN HUETTEN AND PALMERTON CAMPUSES) BECAME PART OF ST. LUKE'S UNIVERSITY HEALTH NETWORK ON JANUARY 1, 2018, BECOMING THE EIGHTH AND NINTH HOSPITAL CAMPUSES IN THE NETWORK. THE EMERGENCY DEPARTMENT LOCATED A SL-BLUE MOUNTAIN GNADEN HUETTEN CAMPUS PROVIDES EMERGENCY SERVICES TO CARBON COUNTY AND THE SURROUNDING COMMUNITY 24-HOUR, SEVEN DAYS A WEEK, 365 DAYS A YEAR. CARE IS PROVIDED TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. DURING FY2018, THE ST. LUKES BLUE MOUNTAIN GNADEN HUETTEN CAMPUS EMERGENCY DEPARTMENT SAW 15,600 PATIENTS. THE EMERGENCY DEPARTMENT LOCATED AT THE SL-BLUE MOUNTAIN PALMERTON CAMPUS PROVIDES AROUND-THE-CLOCK EMERGENCY SERVICES TO THE PALMERTON AREA AND SURROUNDING COMMUNITIES WITHIN CARBON COUNTY. CARE IS PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. DURING FY2018, THE PALMERTON CAMPUS EMERGENCY DEPARTMENT SAW 10,693 PATIENTS. IN FY18 SL-BLUE MOUNTAIN HOSPITAL PROVIDED CARE FOR 5,625 ADMISSIONS AND OBSERVATIONS, 26,293 ED VISITS, AND 69,145 OUTPATIENT VISITS AND IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SL-BLUE MOUNTAIN PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SL-BLUE MOUNTAIN OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINES IN THE IRS REVENUE RULING 69-545: 1) SL-BLUE MOUNTAIN PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) SL-BLUE MOUNTAIN OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) SL-BLUE MOUNTAIN MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF SL-BLUE MOUNTAIN RESTS WITH THE BOARD OF TRUSTEES OF ST. LUKE'S HEALTH NETWORK, INC., D.B.A. ST. LUKE'S UNIVERSITY HEALTH NETWORK. THE BOARD IS COMPRISED OF A MAJORITY OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY, AS WELL AS PHYSICIANS ON THE HOSPITAL/NETWORK MEDICAL STAFF; 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE OPERATIONS OF SL-BLUE MOUNTAIN, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF SL-BLUE MOUNTAIN IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ON JANUARY 1, 2018, BLUE MOUNTAIN HOSPITAL CONTINUED TO CARE FOR THE RESIDENTS OF CARBON COUNTY BY JOINING ST. LUKES UNIVERSITY HEALTH NETWORK AND BECAME ST. LUKES-BLUE MOUNTAIN WITH TWO CAMPUS LOCATIONS, GNADEN HUETTEN IN LEHIGHTON, PENNSYLVANIA, AND PALMERTON LOCATED IN PALMERTON, PENNSYLVANIA. SL-BLUE MOUNTAIN GNADEN HUETTEN AND PALMERTON CAMPUSES PROVIDE ACUTE INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL CARE. THE SL-BLUE MOUNTAIN CAMPUS HAS AN ANNUAL CAPACITY FOR 8,200 INPATIENT AND OBSERVATION ADMISSIONS AND HAS A 9-BED EMERGENCY DEPARTMENT WITH AN ANNUAL CAPACITY FOR 62,000 VISITS. KINDRED HEALTHCARE OPERATES A 22-BED INPATIENT ACUTE REHABILITATION UNIT ON THE THIRD FLOOR OF THE SL-BLUE MOUNTAIN GNADEN HUETTEN CAMPUS. THE UNIT PROVIDES INPATIENT REHABILITATION FOR PATIENTS WHO HAVE EXPERIENCED STROKE, MAJOR-MULTI TRAUMAS, COMPLEX JOINT REPLACEMENTS, AMPUTATION, SEVERE ARTHRITIS, MULTIPLE SCLEROSIS AND OTHER PHYSICAL AND NEUROLOGICAL CONDITIONS. THE ACUTE REHABILITATION TEAM OFFERS SPECIALIZED REHABILITATION CARE IN BEAUTIFULLY-APPOINTED ROOMS AND IS THE MOST COMPREHENSIVE UNIT OF ITS TYPE IN THE CARBON COUNTY AREA. THE UNIT OPERATES UNDER THE SL-BLUE MOUNTAIN LICENSE. SL-BLUE MOUNTAIN SPECIALTY SERVICES INCLUDE: -------------------------------------------- - ADULT BEHAVIORAL HEALTH - ADULT PARTIAL HOSPITALIZATION - CARDIAC CATHETERIZATION - CARDIOLOGY - CRITICAL CARE - ECT - ELECTROCONVULSIVE THERAPY - EMERGENCY SERVIVES - ENDOSCOPIES - GYNECOLOGY - INFUSION SERVICES - NEUROLOGY - OLDER ADULT BEHAVIORAL HEALTH - ORTHOPEDICS, JOINT AND MUSCLE DISORDERS - PAIN MANAGEMENT - RADIOLOGY (ADVANCED, INTERVENTIONAL) - SLEEP DISORDERS CENTER - PHYSICAL AND OCCUPATIONAL THERAPY, REHABILITATION - SURGERY (GENERAL, SPECIALTY AND LAPAROSCOPIC) - VASCULAR SERVICES MISSION: -------- THE MISSION OF SL-BLUE MOUNTAIN IS TO PROVIDE COMPASSIONATE, EXCELLENT QUALITY AND COST-EFFECTIVE HEALTHCARE TO RESIDENTS OF THE COMMUNITIES SERVED REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE MISSION OF SL-BLUE MOUNTAIN IS AN UNWAVERING COMMITMENT TO EXCELLENCE AS WE CARE FOR THE SICK AND INJURED; EDUCATE PHYSICIANS, NURSES AND OTHER HEALTHCARE PROVIDERS; AND IMPROVE ACCESS TO CARE IN THE COMMUNITIES WE SERVE, REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR THEIR CARE. CARBON COMMUNITY OUTREACH: -------------------------- ST. LUKES UNIVERSITY HEALTH NETWORK PARTNERS WITH LOCAL SCHOOLS, CIVIC ORGANIZATIONS AND COMMUNITY RESOURCES TO IMPROVE THE HEALTH OF THE RESIDENTS OF CARBON COUNTY AND THE SURROUNDING AREA. SL-BLUE MOUNTAIN SUPPORTS THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITY AREAS THAT ARE IDENTIFIED WITHIN THE CAMPUS SERVICE AREA BY COLLECTING AND ANALYZING DATA AND COMMUNITY INPUT. BASED ON THE IDENTIFIED NEEDS AND PRIORITIES, EACH CAMPUS DEVELOPS PLANS AND PROGRAMS TO IMPROVE THE HEALTH OF THOSE IN THE COMMUNITIES. THE SL-BLUE MOUNTAIN CAMPUS OFFERS A VARIETY OF FREE SCREENINGS/SERVICES FOR COMMUNITY-RUN EVENTS THROUGHOUT THE YEAR. COMMUNITY OUTREACH, INCLUDES, BUT IS NOT LIMITED TO, THE FOLLOWING: - UTILIZING MEDIA OUTLETS TO EDUCATE THE COMMUNITY ABOUT HEALTH ISSUES THAT MAY IMPACT THEM - CONDUCTING/PARTICIPATING IN MORE THAN 20 COMMUNITY HEALTH FAIRS PROVIDING A VARIETY OF SCREENINGS EMS, L.B. MORRIS ELEMENTARY SCHOOL, THE VILLAGE AT PALMERTON, CARBON COUNTY FAIR, PALMERTON COMMUNITY FESTIVAL, LEHIGHTON LIONESS AND LIONS CLUB, PALMERTON LIONS CLUB, PALMERTON ELEMENTARY SCHOOL, LEHIGHTON RECREATION SENIOR FAIR, REP. DOYLE HEFFLEY SENIOR FAIR, WEATHERLY SCHOOL DISTRICT WELLNESS FAIR, PLEASANT VALLEY ACADEMIC HEALTH FAIR, 28TH ANNUAL CHILDRENS HEALTH FAIR, AND COMMUNITY SAFETY DAY. - HOSTS FOUR HEALTH SUPPORT GROUPS IN THE COMMUNITY: BREAST CANCER, WEIGHT LOSS/BARIATRIC SURGERY, ADULT DAY CAREGIVER, THE SUMMIT CAREGIVER, AND OTHER SPECIALTY SUPPORT PROGRAMMING, SUCH AS 6-WEEK BEREAVEMENT WORKSHOP. - OFFERS FREE DIAGNOSTIC MAMMOGRAMS AND ULTRASOUNDS TO WOMEN AND MEN WHO ARE UNDER- OR NON-INSURED. - ADULT DAY CARE PROVIDES AN ALTERNATIVE TO NURSING CARE WHILE PROVIDING RESPITE FOR THOSE CARING FOR SOMEONE IN THEIR HOME. - PROVIDES A PHYSICIAN MEDICAL DIRECTOR FOR THE LOCAL ALS/BLS SERVICES IN THE SURROUNDING COMMUNITIES. - PROVIDES THE HEALTHY SMILES, HAPPY KIDS DENTAL VAN, PROVIDES PREVENTATIVE AND RESTORATIVE DENTAL CARE TO UNDER- AND NON-INSURED CHILDREN WITHIN CARBON COUNTY AND THE SURROUNDING AREAS. - HOSTS "LADIES NIGHT OUT," AN EDUCATIONAL EVENT FOR MORE THAN 200 PARTICIPANTS IN REGARDS TO AWARENESS ABOUT FEMALE CANCERS, ESPECIALLY BREAST CANCER. - SUPPORTS LOCAL COMMUNITY GROUPS, E.G., AMERICAN CANCER SOCIETY TELETHON, RELAY FOR LIFE, LIGHT THE NIGHT, AMERICAN LUNG ASSOCIATION, AND AMERICAN HEART ASSOCIATION. - VARIOUS STAFF MEMBERS PARTICIPATE IN LOCAL CIVIC ORGANIZATIONS SUCH AS EAST CENTRAL AREA HEALTH EDUCATION CONSORTIUM, CARBON COUNTY INTERAGENCY COUNCIL, KIDZONE PROGRAM, AMERICAN CANCER SOCIETY, LEHIGHTON ROTARY, JIM THORPE ROTARY, LEHIGHTON LIONESS AND LIONS CLUBS, PALMERTON LIONS AND LIONESS CLUB, CARBON COUNTY CHAMBER OF COMMERCE, AND PALMERTON CHAMBER OF COMMERCE. - PROMOTES VARIOUS PHYSICAL EXERCISE AND WELLNESS EVENT THROUGHOUT THE YEAR, INCLUDING WEAR RED DAYS. HOSTS THE 5K RUN/WALK THAT DRAWS 500 PARTICIPANTS ANNUALLY. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | SL-BLUE MOUNTAIN HEALTH EDUCATION PROGRAMMING: ---------------------------------------------- - PROVIDES MORE THAN 30 EDUCATIONAL PROGRAMS AND SCREENINGS NATIONAL CHOLESTEROL MONTH DINNER & LECTURE PROGRAM, WEIGHT LOSS SURGERY, AARP DRIVING CLASS, LUNG CANCER EDUCATION, DIABETES EDUCATION, STRESS/STROKE SCREENINGS, CARBON COUNTY DOMESTIC VIOLENCE, FAMILY CAREGIVER TRAINING NIGHT, CARBON COUNTY DRUG & ALCOHOL PROGRAM; LOOK GOOD . . . FEEL BETTER WITH AMERICAN CANCER SOCIETY, NEW TO MEDICARE CO-SPONSORED WITH CARBON COUNTY AREA AGENCY ON AGING, HEART HEALTH FAIR, AMERICAN HEART MONTH LUNCH 'N LEARN, LET'S TALK ABOUT WOUND CARE AND ADULT DAY SERVICE, CARBON COUNTY SAFE KIDS AND SENATOR YUDICHAK COMMUNITY SAFETY DAY, PANTHER VALLEY CAREER DAY, SAFE KIDS CAR SEAT CHECK, AND MENTAL HEALTH DEPRESSION OUTREACH ASSESSMENTS. - SERVES AS A MEDICAL TRAINING/CLINICAL EDUCATION SITE FOR AREA COLLEGES AND SCHOOLS SUCH AS CEDAR CREST COLLEGE, WILKES UNIVERSITY, KINGS COLLEGE, KUTZTOWN UNIVERSITY, DESALES UNIVERSITY, MARYWOOD UNIVERSITY, UNIVERSITY OF SCRANTON, LEHIGH CARBON COMMUNITY COLLEGE, LINCOLN TECHNICAL INSTITUTE, NORTHAMPTON AREA COMMUNITY COLLEGE, PENNSYLVANIA STATE UNIVERSITY, JOHNSON SCHOOL OF TECHNOLOGY, AND PENNSYLVANIA COLLEGE OF OSTEOPATHIC MEDICINE. - PROVIDE CPR/BLS/ACLS/PALS TRAINING TO COMMUNITY ORGANIZATIONS SUCH AS AMBULANCE/EMS, FIRE, POLICE, AND TEACHERS. - PROVIDES "HEALTH IMAGES," A HEALTH SYSTEM-HOSTED TELEVISION PROGRAM FEATURING A VARIETY OF HEALTH AND WELLNESS INFORMATION AND EDUCATION. - HOSTS NEW SEASONS, A PROGRAM FOR ADULTS AGE 65 AND OLDER THAT OFFERS EXERCISE AND WELLNESS PROGRAMS SUCH AS YOGA AND LOW-IMPACT AEROBICS, NEW SEASONS HEARING AID BATTERY BANK, AND THE NEW SEASONS ANNUAL HEALTH & INFORMATION FAIR. SL-BLUE MOUNTAIN DENTAL NEEDS: ------------------------------ - BMHS CONTINUED TO PROVIDE THE ADMINISTRATIVE AND OPERATIONS OVERSIGHT OF THE HEALTHY SMILES HAPPY KIDS DENTAL VAN, WHICH IS THE DENTAL HOME FOR OVER 900+MEDICAID ELIGIBLE CHILDREN FROM CARBON AND NORTHERN SCHUYLKILL COUNTIES. AS THERE ARE NO LOCAL DENTISTS WHO ACCEPT MA AS A PAYER, THIS VAN PROVIDES THESE CHILDREN WITH TWICE ANNUAL DENTAL SCREENINGS AND CLEANINGS. PROVIDES ALL OF ITS PATIENTS WITH BASIS EDUCATION ON BRUSHING, FLOSSING AND BASIS DENTAL HEALTH HYGIENE. THE STAFF APPLIES SEALANTS AND VARNISHED AS INDICATED AND ADDRESSES DENTAL CARRIES AND BASIC RESTORATIVE SERVICES THAT CAN BE DONE SAFELY ON THE VAN. WHEN NECESSARY THE STAFF, IN CONSULTATION WITH PARENTS, REFERS CHILDREN FOR SPECIALTY CARE SERVICES. - THE DENTAL VAN STAFF, IN PARTNERSHIP WITH THE ST. LUKES COMMUNITY HEALTH DEPARTMENT HAS BECOME INVOLVED IN A COMMUNITY DENTAL PLANNING INITIATIVE, THE GOAL OF WHICH IS TO FIND FUNDING TO GOOD WILL AND SUPPORT NEEDED TO ROLL OUT A FIXED DENTAL CLINIC FOR UN AND UNDER INSURED ADULTS IN OUR SERVICE REGION. VOLUNTEER HOURS: PALMERTON TOTAL HOURS: 9,299 HOURS AND GNADEN TOTAL HOURS: 6498. |
| CORE FORM, PART III; QUESTION 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, QUESTION 3; PART VII AND SCHEDULE J | THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKES UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKES HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. THIS ORGANIZATION OUTSOURCED ALL OF ITS FINANCE FUNCTIONS INCLUDING BUT NOT LIMITED TO, ACCOUNTING, FINANCE, PAYROLL, ACCOUNTS PAYABLE AND TAX, TO ST. LUKES HEALTH NETWORK, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THOMAS P. LICHTENWALNER IS THE SENIOR VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER OF THE NETWORK. MR. LICHTENWALNER RECEIVES A FEDERAL FORM W-2 FROM ST. LUKES HOSPITAL OF BETHLEHEM PENNSYLVANIA, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MR. LICHTENWALNERS REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ST. LUKES HEALTH NETWORK, INC. (EIN: 23-2384282) FEDERAL FORM 990. PLEASE REFER TO THE ST. LUKES HEALTH NETWORK, INC. FORM 990 FOR THIS INFORMATION. |
| CORE FORM, PART VI, SECTION A; QUESTION 4 | ON SEPTEMBER 11, 2017, ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK") ENTERED INTO A DEFINITIVE AGREEMENT (THE "AFFILIATION AGREEMENT") WITH BLUE MOUNTAIN HEALTH SYSTEM, INC. ("BMHS"). AS OF THE DATE OF THE AFFILIATION AGREEMENT, BMHS WAS THE SOLE MEMBER OF BLUE MOUNTAIN HOSPITAL ("BMH") AND CMS MEDICAL CARE CORPORATION ("CMS"); A WHOLLY CONTROLLED SUBSIDIARY OF BMH. ON DECEMBER 31, 2017, SUBSEQUENT TO THE SATISFACTION OF ALL CONDITIONS PRECEDENT, THE BLUE MOUNTAIN AFFILIATION WAS COMPLETED AND CONSUMMATED. ACCORDINGLY, PURSUANT TO THE TERMS OF THE AFFILIATION AGREEMENT, BMHS WAS STATUTORILY MERGED INTO BMH. IN ADDITION, THE NETWORK BECAME THE SOLE MEMBER OF BMH AND CMS. BMH AND CMS ARE BOTH NON-PROFIT ORGANIZATIONS ORGANIZED UNDER THE LAW OF THE COMMONWEALTH OF PENNSYLVANIA AND RECOGNIZED AS TAX-EXEMPT ORGANIZATIONS PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THIS ORGANIZATIONS ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED AND RESTATED TO REFLECT SLHN AS ITS SOLE MEMBER. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | EFFECTIVE JANUARY 1, 2018, ST. LUKE'S HEALTH NETWORK, INC. ("SLHN") BECAME THE SOLE MEMBER OF THIS ORGANIZATION. SLHN HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE ST. LUKE'S UNIVERSITY HEALTH NETWORK FINANCE COMMITTEE WAS UPDATED AS TO THIS ORGANIZATION'S CURRENT YEAR FORM 990 PRIOR TO FILING. ST. LUKE'S HEALTH NETWORK, INC. BOARD OF TRUSTEES HAS DELEGATED TO THE FINANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR THE TAX-EXEMPT AFFILIATES OF THE NETWORK. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE NETWORK'S FINANCE PERSONNEL, INCLUDING ITS SENIOR VICE PRESIDENT OF FINANCE, VICE PRESIDENT OF FINANCE, DIRECTOR OF ACCOUNTING AND VARIOUS OTHER NETWORK INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE NETWORK'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE NETWORK'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE NETWORK'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE ST. LUKE'S HEALTH NETWORK, INC. FINANCE COMMITTEE. THEREAFTER, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. THE NETWORK HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THAT POLICY. THE POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES, BOARD COMMITTEE MEMBERS AND SENIOR MANAGEMENT ANNUALLY. THE NETWORK'S COMPLIANCE DEPARTMENT, INCLUDING ITS CORPORATE COMPLIANCE OFFICER AND SENIOR VICE PRESIDENT/GENERAL COUNSEL, ASSUME RESPONSIBILITY FOR THE COMPLETION OF THE CONFLICT OF INTEREST QUESTIONNAIRES AND ENFORCEMENT WITH THE POLICY. IF A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT MAY BE DISCLOSED TO THE ORGANIZATION'S GOVERNING BODY, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD. AFTER CONSULTATION AND DISCUSSION THE BOARD OF TRUSTEES MAY TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE NETWORK'S CONFLICT OF INTEREST POLICY. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | EFFECTIVE JANUARY 1, 2018 THIS ORGANIZATION BECAME AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE RULES AND REGULATIONS AND FORM 990 INSTRUCTIONS, THE COMPENSATION INFORMATION FOR THIS FORM 990 REFLECTS COMPENSATION FOR THE YEAR ENDED DECEMBER 31, 2017. THEREFORE, THE REVIEW AND APPROVAL PROCESS INCLUDED BELOW REFLECTS THE PROCEDURES IN PLACE FOR THE COMPENSATION INCLUDED WITHIN THIS FORM 990. THE BLUE MOUNTAIN HOSPITAL BOARD OF TRUSTEES HAS AN EXECUTIVE COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF SENIOR MANAGEMENT. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED VARIOUS SALARY SURVEYS. THE SURVEYS INCLUDE COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMMITTEE MEETINGS DURING WHICH THE SENIOR MANAGEMENT COMPENSATION AND BENEFITS WERE REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO SENIOR MANAGEMENT. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. THE NETWORK HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. |
| CORE FORM, PART VII AND SCHEDULE J | CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. PLEASE NOTE, THIS ORGANIZATION'S FORM 990 REFLECTS INDIVIDUALS WHO PROVIDE SERVICES TO OTHER ORGANIZATIONS. THIS ORGANIZATION ISSUES FORMS 1099 OR W-2'S TO THOSE INDIVIDUALS AND FILES THE APPLICABLE FORMS WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO OTHER AFFILIATES VIA AN INTERCOMPANY ACCOUNT. |
| CORE FORM, PART VII AND SCHEDULE J | EFFECTIVE JANUARY 1, 2018 THE ORGANIZATION BECAME AN AFFILIATE WITHIN ST. LUKES UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. AS A RESULT OF THIS AFFILIATION, THOMAS P. LICHTENWALNER, SENIOR VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER OF THE NETWORK, BECAME THE SENIOR FINANCIAL OFFICIAL OF THIS ORGANIZATION. THE ORGANIZATION'S VICE PRESIDENT/CHIEF FINANCIAL OFFICER, ANDREA ANDRAE, SERVED IN THIS CAPACITY THROUGH DECEMBER 31, 2017 AND REMAINS EMPLOYED AS THE ORGANIZATION'S DIRECTOR OF FINANCE. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE NETWORK. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS WITHIN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART X | CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCES PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION IN THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RESTATEMENT HAD NO EFFECT ON THE ORGANIZATION'S NET ASSETS. |
| CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET ACQUISITION BY ST. LUKE'S UNIVERSITY HEALTH NETWORK - $26,989,741; - RESTRUCTURING COSTS - ($2,796,703); - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF PROPERTY AND EQUIPMENT - ($8,395); - CHANGE IN ADDITIONAL PENSION LIABILITY - $398,009; - TRANSFER OF NET ASSETS FROM BLUE MOUNTAIN HEALTH SYSTEM, INC. UPON CESSATION OF ACTIVITIES & OPERATIONS - $2,091,243; AND - PERMANENTLY RESTRICTED CHANGES IN NET ASSETS - $26,766. |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE NETWORK AND ITS CONTROLLED AFFILIATES FOR THE YEAR ENDED JUNE 30, 2018 AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM. THE NETWORK'S EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE NETWORK'S CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ST LUKE'S HEALTH NETWORK INC | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 232384282 | HEALTH SVCS. | PA | 501(C)(3) | 509(A)(3) | NA | false |
| ST LUKE'S HOSPITAL OF BETHLEHEM PA | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 231352213 | HEALTH SVCS. | PA | 501(C)(3) | HOSPITAL | SLHN | false |
| ST LUKE'S HOSPITAL ANDERSON CAMPUS | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 454394739 | HEALTH SVCS. | PA | 501(C)(3) | HOSPITAL | SLHN | false |
| ST LUKE'S HOSPITAL MONROE CAMPUS | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 465143606 | HEALTH SVCS. | PA | 501(C)(3) | HOSPITAL | SLHN | false |
| ST LUKE'S QUAKERTOWN HOSPITAL | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 231352203 | HEALTH SVCS. | PA | 501(C)(3) | HOSPITAL | SLHN | false |
| CARBON-SCHUYLKILL COMMUNITY HOSPITAL | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 251550350 | HEALTH SVCS. | PA | 501(C)(3) | HOSPITAL | SLHN | false |
| ST LUKE'S PHYSICIAN GROUP INC | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 232380812 | HEALTH SVCS. | PA | 501(C)(3) | 509(A)(3) | SLHN | false |
| ST LUKE'S EMERGENCY & TRANSPORT SVCS | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 232179542 | HEALTH SVCS. | PA | 501(C)(3) | 170B1AIII | SLHN | false |
| QUAKERTOWN REHABILITATION CENTER | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 232543924 | INACTIVE | PA | 501(C)(3) | 170B1AIII | SLHN | false |
| HOMESTAR MEDICAL EQUIP & INFUSION SVCS | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 232418254 | INACTIVE | PA | 501(C)(3) | 509(A)(2) | VNA | false |
| VNA OF ST LUKE'S - HOME HEALTH HOSPICE | ||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 240795497 | HEALTH SVCS. | PA | 501(C)(3) | 509(A)(1) | SLB | false |
| ST LUKE'S WARREN HOSPITAL INC | ||||||||||
| 185 ROSEBERRY STREET | PHILLIPSBURG | NJ | 08865 | 221494454 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SLHN | false |
| BLUE MOUNTAIN HEALTH SYSTEM INC | ||||||||||
| 211 NORTH 12TH STREET | LEHIGHTON | PA | 18235 | 201311316 | HEALTH SVCS. | PA | 501(C)(3) | 509(A)(3) | NA | false |
| CMS MEDICAL CARE CORPORATION | ||||||||||
| 211 NORTH 12TH STREET | LEHIGHTON | PA | 18235 | 232473899 | HEALTH SVCS. | PA | 501(C)(3) | 170B1AIII | SLHN | false |
| SACRED HEART HEALTHCARE SYSTEM | ||||||||||
| 421 W CHEW STREET | ALLENTOWN | PA | 18102 | 232328297 | HEALTH SVCS. | PA | 501(C)(3) | 509(A)(3) | SLHN | false |
| SACRED HEART HOSPITAL OF ALLENTOWN | ||||||||||
| 421 W CHEW STREET | ALLENTOWN | PA | 18102 | 231352208 | HEALTH SVCS. | PA | 501(C)(3) | HOSPITAL | SLHN | false |
| SACRED HEART FOUNDATION | ||||||||||
| 421 W CHEW STREET | ALLENTOWN | PA | 18102 | 232328300 | FUNDRAISING | PA | 501(C)(3) | 509(A)(1) | SHH | false |
| SH REALTY CORPORATION | ||||||||||
| 421 W CHEW STREET | ALLENTOWN | PA | 18102 | 232384986 | HOLDING CO. | PA | 501(C)(2) | N/A | SHH | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SH ASSISTED LIVING | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3910 ADLER PLACE | AddressLine1Txt |
| City | BETHLEHEM | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200546001 | EIN |
| Primary Activities | MEDICAL OFFICE | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ST LUKE'S HEALTH NETWORK INSURANCE COMP | |||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 752993150 | FINANCIAL VEHICLE | VT | NA | C CORP. | false |
| ST LUKE'S PHYSICIAN HOSPITAL ORG INC | |||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 232786818 | HEALTHCARE SVCS. | PA | NA | C CORP. | false |
| HILLCREST EMERGENCY SERVICES PC | |||||||||
| 185 ROSEBERRY STREET | PHILLIPSBURG | NJ | 08865 | 204429976 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false |
| TWO RIVERS ENTERPRISES INC | |||||||||
| 185 ROSEBERRY STREET | PHILLIPSBURG | NJ | 08865 | 521552606 | REAL ESTATE | NJ | NA | C CORP. | false |
| ST LUKE'S WARREN PHYSICIAN GROUP PC | |||||||||
| 185 ROSEBERRY STREET | PHILLIPSBURG | NJ | 08865 | 223837316 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false |
| SACRED HEART ANCILLARY SERVICES INC | |||||||||
| 421 W CHEW STREET | ALLENTOWN | PA | 18102 | 232384987 | HEALTHCARE SVCS. | PA | NA | C CORP. | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE NETWORK. IN THE ORDINARY COURSE OF BUSINESS, VARIOUS AFFILIATES WITHIN THE SYSTEM ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES WITHIN THE NETWORK, INCLUDING THIS ORGANIZATION. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED. | ExplanationTxt |